| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,621.80 | $45,191.30 | $91,816.60 | |
Cigna
| Facility | $69,077.16 | $69,077.16 | $73,393.20 | |
Premera BCBS
| Facility | $7,500.00 | $26,696.24 | $40,168.69 | |
Providence
| Facility | $7,500.00 | $25,461.57 | $73,393.20 |