| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,298.70 | $46,486.40 | $94,447.90 | |
Cigna
| Facility | $71,056.78 | $71,056.78 | $75,496.50 | |
Premera BCBS
| Facility | $7,500.00 | $27,461.30 | $42,874.58 | |
Providence
| Facility | $7,500.00 | $27,176.74 | $75,496.50 |