| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,997.30 | $36,344.19 | $73,841.50 | |
Cigna
| Facility | $55,553.85 | $55,553.85 | $59,024.93 | |
Premera BCBS
| Facility | $7,500.00 | $21,469.89 | $31,013.35 | |
Providence
| Facility | $7,500.00 | $19,658.31 | $59,024.93 |