| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,155.40 | $44,299.00 | $90,003.60 | |
Cigna
| Facility | $67,713.16 | $67,713.16 | $71,943.98 | |
Premera BCBS
| Facility | $7,500.00 | $26,169.10 | $40,502.33 | |
Providence
| Facility | $7,500.00 | $25,673.05 | $71,943.98 |