| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,490.50 | $41,113.90 | $83,532.30 | |
Cigna
| Facility | $62,844.61 | $62,844.61 | $66,771.23 | |
Premera BCBS
| Facility | $7,500.00 | $24,287.55 | $40,190.78 | |
Providence
| Facility | $7,500.00 | $25,475.57 | $66,771.23 |