| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,577.00 | $48,931.80 | $99,416.30 | |
Cigna
| Facility | $74,794.70 | $74,794.70 | $79,467.98 | |
Premera BCBS
| Facility | $7,500.00 | $28,905.90 | $43,561.47 | |
Providence
| Facility | $7,500.00 | $27,612.14 | $79,467.98 |