| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,975.90 | $40,129.40 | $81,532.10 | |
Cigna
| Facility | $61,339.78 | $61,339.78 | $65,172.38 | |
Premera BCBS
| Facility | $7,500.00 | $23,705.98 | $36,913.30 | |
Providence
| Facility | $7,500.00 | $23,398.09 | $65,172.38 |