| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,396.40 | $46,673.30 | $94,827.60 | |
Cigna
| Facility | $71,342.45 | $71,342.45 | $75,800.03 | |
Premera BCBS
| Facility | $7,500.00 | $27,571.70 | $42,889.30 | |
Providence
| Facility | $7,500.00 | $27,186.07 | $75,800.03 |