| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,854.60 | $47,549.90 | $96,608.50 | |
Cigna
| Facility | $72,682.31 | $72,682.31 | $77,223.60 | |
Premera BCBS
| Facility | $7,500.00 | $28,089.52 | $47,545.47 | |
Providence
| Facility | $7,500.00 | $30,137.45 | $77,223.60 |