| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,005.10 | $42,098.40 | $85,532.50 | |
Cigna
| Facility | $64,349.43 | $64,349.43 | $68,370.08 | |
Premera BCBS
| Facility | $7,500.00 | $24,869.11 | $40,622.54 | |
Providence
| Facility | $7,500.00 | $25,749.25 | $68,370.08 |