| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,338.70 | $46,562.80 | $94,603.00 | |
Cigna
| Facility | $71,173.46 | $71,173.46 | $75,620.48 | |
Premera BCBS
| Facility | $7,500.00 | $27,506.40 | $48,212.74 | |
Providence
| Facility | $7,500.00 | $30,560.42 | $75,620.48 |