| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,501.50 | $41,135.00 | $83,575.10 | |
Cigna
| Facility | $62,876.80 | $62,876.80 | $66,805.42 | |
Premera BCBS
| Facility | $7,500.00 | $24,299.99 | $39,655.98 | |
Providence
| Facility | $7,500.00 | $25,136.58 | $66,805.42 |