| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,847.20 | $43,709.30 | $88,805.60 | |
Cigna
| Facility | $66,811.88 | $66,811.88 | $70,986.38 | |
Premera BCBS
| Facility | $7,500.00 | $25,820.78 | $40,782.00 | |
Providence
| Facility | $7,500.00 | $25,850.32 | $70,986.38 |