| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,148.50 | $44,285.80 | $89,976.80 | |
Cigna
| Facility | $67,693.05 | $67,693.05 | $71,922.60 | |
Premera BCBS
| Facility | $7,500.00 | $26,161.32 | $41,731.39 | |
Providence
| Facility | $7,500.00 | $26,452.11 | $71,922.60 |