| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,836.90 | $39,863.60 | $80,992.00 | |
Cigna
| Facility | $60,933.40 | $60,933.40 | $64,740.60 | |
Premera BCBS
| Facility | $7,500.00 | $23,548.92 | $31,661.00 | |
Providence
| Facility | $7,500.00 | $20,068.83 | $64,740.60 |