| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,661.10 | $41,440.30 | $84,195.50 | |
Cigna
| Facility | $63,343.53 | $63,343.53 | $67,301.33 | |
Premera BCBS
| Facility | $7,500.00 | $24,480.37 | $36,932.93 | |
Providence
| Facility | $7,500.00 | $23,410.53 | $67,301.33 |