| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,512.50 | $41,156.00 | $83,617.89 | |
Cigna
| Facility | $62,908.99 | $62,908.99 | $66,839.63 | |
Premera BCBS
| Facility | $7,500.00 | $24,312.43 | $39,893.94 | |
Providence
| Facility | $7,500.00 | $25,287.41 | $66,839.63 |