| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,642.90 | $39,492.40 | $80,237.89 | |
Cigna
| Facility | $60,366.07 | $60,366.07 | $64,137.83 | |
Premera BCBS
| Facility | $7,500.00 | $23,329.67 | $37,919.11 | |
Providence
| Facility | $7,500.00 | $24,035.64 | $64,137.83 |