| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,008.00 | $34,451.50 | $69,996.20 | |
Cigna
| Facility | $52,660.88 | $52,660.88 | $55,951.20 | |
Premera BCBS
| Facility | $7,500.00 | $20,351.84 | $30,880.88 | |
Providence
| Facility | $7,500.00 | $19,574.34 | $55,951.20 |