| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,443.70 | $41,024.40 | $83,350.50 | |
Cigna
| Facility | $62,707.81 | $62,707.81 | $66,625.88 | |
Premera BCBS
| Facility | $7,500.00 | $24,234.68 | $38,760.56 | |
Providence
| Facility | $7,500.00 | $24,569.00 | $66,625.88 |