| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,820.20 | $47,484.10 | $96,474.80 | |
Cigna
| Facility | $72,581.72 | $72,581.72 | $77,116.73 | |
Premera BCBS
| Facility | $7,500.00 | $28,050.65 | $48,399.18 | |
Providence
| Facility | $7,500.00 | $30,678.60 | $77,116.73 |