| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,563.90 | $35,515.00 | $72,156.89 | |
Cigna
| Facility | $54,286.41 | $54,286.41 | $57,678.30 | |
Premera BCBS
| Facility | $7,500.00 | $20,980.06 | $36,773.47 | |
Providence
| Facility | $7,500.00 | $23,309.45 | $57,678.30 |