| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,193.10 | $48,197.40 | $97,924.10 | |
Cigna
| Facility | $73,672.12 | $73,672.12 | $78,275.25 | |
Premera BCBS
| Facility | $7,500.00 | $28,472.05 | $46,309.06 | |
Providence
| Facility | $7,500.00 | $29,353.74 | $78,275.25 |