| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,570.30 | $41,266.60 | $83,842.50 | |
Cigna
| Facility | $63,077.98 | $63,077.98 | $67,019.17 | |
Premera BCBS
| Facility | $7,500.00 | $24,377.74 | $37,406.39 | |
Providence
| Facility | $7,500.00 | $23,710.64 | $67,019.17 |