| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,092.70 | $48,005.30 | $97,533.70 | |
Cigna
| Facility | $73,378.39 | $73,378.39 | $77,963.17 | |
Premera BCBS
| Facility | $7,500.00 | $28,358.54 | $42,585.10 | |
Providence
| Facility | $7,500.00 | $26,993.25 | $77,963.17 |