| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,836.09 | $34,122.50 | $69,327.70 | |
Cigna
| Facility | $52,157.93 | $52,157.93 | $55,416.83 | |
Premera BCBS
| Facility | $7,500.00 | $20,157.47 | $31,754.22 | |
Providence
| Facility | $7,500.00 | $20,127.91 | $55,416.83 |