| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,825.90 | $39,842.50 | $80,949.20 | |
Cigna
| Facility | $60,901.21 | $60,901.21 | $64,706.40 | |
Premera BCBS
| Facility | $7,500.00 | $23,536.48 | $37,124.28 | |
Providence
| Facility | $7,500.00 | $23,531.82 | $64,706.40 |