| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,071.10 | $42,224.70 | $85,789.30 | |
Cigna
| Facility | $64,542.57 | $64,542.57 | $68,575.28 | |
Premera BCBS
| Facility | $7,500.00 | $24,943.76 | $40,269.28 | |
Providence
| Facility | $7,500.00 | $25,525.33 | $68,575.28 |