| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,151.80 | $48,118.40 | $97,763.70 | |
Cigna
| Facility | $73,551.41 | $73,551.41 | $78,147.00 | |
Premera BCBS
| Facility | $7,500.00 | $28,425.40 | $44,601.63 | |
Providence
| Facility | $7,500.00 | $28,271.46 | $78,147.00 |