| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,845.50 | $41,793.00 | $84,912.20 | |
Cigna
| Facility | $63,882.70 | $63,882.70 | $67,874.17 | |
Premera BCBS
| Facility | $7,500.00 | $24,688.73 | $38,049.12 | |
Providence
| Facility | $7,500.00 | $24,118.05 | $67,874.17 |