| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,361.70 | $44,693.80 | $90,805.80 | |
Cigna
| Facility | $68,316.70 | $68,316.70 | $72,585.23 | |
Premera BCBS
| Facility | $7,500.00 | $26,402.35 | $41,547.40 | |
Providence
| Facility | $7,500.00 | $26,335.48 | $72,585.23 |