| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,771.20 | $41,650.90 | $84,623.40 | |
Cigna
| Facility | $63,665.42 | $63,665.42 | $67,643.33 | |
Premera BCBS
| Facility | $7,500.00 | $24,604.77 | $39,857.14 | |
Providence
| Facility | $7,500.00 | $25,264.09 | $67,643.33 |