| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,554.90 | $39,323.90 | $79,895.60 | |
Cigna
| Facility | $60,108.56 | $60,108.56 | $63,864.23 | |
Premera BCBS
| Facility | $7,500.00 | $23,230.15 | $35,156.81 | |
Providence
| Facility | $7,500.00 | $22,284.71 | $63,864.23 |