| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,792.30 | $35,952.00 | $73,044.70 | |
Cigna
| Facility | $54,954.33 | $54,954.33 | $58,387.95 | |
Premera BCBS
| Facility | $7,500.00 | $21,238.19 | $32,323.36 | |
Providence
| Facility | $7,500.00 | $20,488.68 | $58,387.95 |