| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,990.20 | $43,983.10 | $89,361.80 | |
Cigna
| Facility | $67,230.33 | $67,230.33 | $71,430.98 | |
Premera BCBS
| Facility | $7,500.00 | $25,982.50 | $41,324.15 | |
Providence
| Facility | $7,500.00 | $26,193.98 | $71,430.98 |