| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,800.59 | $35,967.69 | $73,076.80 | |
Cigna
| Facility | $54,978.47 | $54,978.47 | $58,413.60 | |
Premera BCBS
| Facility | $7,500.00 | $21,247.52 | $33,211.42 | |
Providence
| Facility | $7,500.00 | $21,051.59 | $58,413.60 |