| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,485.60 | $44,930.70 | $91,287.10 | |
Cigna
| Facility | $68,678.83 | $68,678.83 | $72,969.98 | |
Premera BCBS
| Facility | $7,500.00 | $26,542.30 | $38,677.15 | |
Providence
| Facility | $7,500.00 | $24,516.13 | $72,969.98 |