| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,319.59 | $38,873.80 | $78,981.10 | |
Cigna
| Facility | $59,420.52 | $59,420.52 | $63,133.20 | |
Premera BCBS
| Facility | $7,500.00 | $22,964.24 | $36,062.04 | |
Providence
| Facility | $7,500.00 | $22,858.50 | $63,133.20 |