| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,514.80 | $46,899.70 | $95,287.50 | |
Cigna
| Facility | $71,688.48 | $71,688.48 | $76,167.67 | |
Premera BCBS
| Facility | $7,500.00 | $27,705.44 | $42,913.83 | |
Providence
| Facility | $7,500.00 | $27,201.62 | $76,167.67 |