| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,061.80 | $44,120.00 | $89,639.90 | |
Cigna
| Facility | $67,439.56 | $67,439.56 | $71,653.28 | |
Premera BCBS
| Facility | $7,500.00 | $26,063.36 | $41,858.94 | |
Providence
| Facility | $7,500.00 | $26,532.97 | $71,653.28 |