| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,518.50 | $35,428.10 | $71,980.39 | |
Cigna
| Facility | $54,153.63 | $54,153.63 | $57,537.23 | |
Premera BCBS
| Facility | $7,500.00 | $20,928.75 | $34,273.66 | |
Providence
| Facility | $7,500.00 | $21,724.91 | $57,537.23 |