| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,777.00 | $43,575.10 | $88,532.80 | |
Cigna
| Facility | $66,606.67 | $66,606.67 | $70,768.35 | |
Premera BCBS
| Facility | $7,500.00 | $25,741.47 | $39,440.10 | |
Providence
| Facility | $7,500.00 | $24,999.73 | $70,768.35 |