| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,441.30 | $42,932.80 | $87,227.90 | |
Cigna
| Facility | $65,624.92 | $65,624.92 | $69,725.25 | |
Premera BCBS
| Facility | $7,500.00 | $25,362.05 | $38,917.56 | |
Providence
| Facility | $7,500.00 | $24,668.52 | $69,725.25 |