| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,681.70 | $41,479.80 | $84,275.70 | |
Cigna
| Facility | $63,403.89 | $63,403.89 | $67,365.45 | |
Premera BCBS
| Facility | $7,500.00 | $24,503.69 | $36,734.22 | |
Providence
| Facility | $7,500.00 | $23,284.57 | $67,365.45 |