| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,869.80 | $47,578.80 | $96,667.30 | |
Cigna
| Facility | $72,726.57 | $72,726.57 | $77,270.63 | |
Premera BCBS
| Facility | $7,500.00 | $28,106.63 | $44,272.90 | |
Providence
| Facility | $7,500.00 | $28,063.09 | $77,270.63 |