| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,275.10 | $44,528.00 | $90,468.90 | |
Cigna
| Facility | $68,063.22 | $68,063.22 | $72,315.89 | |
Premera BCBS
| Facility | $7,500.00 | $26,304.38 | $40,686.32 | |
Providence
| Facility | $7,500.00 | $25,789.68 | $72,315.89 |