| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,693.60 | $47,241.90 | $95,982.80 | |
Cigna
| Facility | $72,211.55 | $72,211.55 | $76,723.42 | |
Premera BCBS
| Facility | $7,500.00 | $27,907.59 | $46,372.84 | |
Providence
| Facility | $7,500.00 | $29,394.17 | $76,723.42 |