| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,234.00 | $36,796.90 | $74,761.39 | |
Cigna
| Facility | $56,245.90 | $56,245.90 | $59,760.23 | |
Premera BCBS
| Facility | $7,500.00 | $21,737.34 | $33,240.86 | |
Providence
| Facility | $7,500.00 | $21,070.25 | $59,760.23 |