| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,186.90 | $34,793.69 | $70,691.50 | |
Cigna
| Facility | $53,183.94 | $53,183.94 | $56,506.95 | |
Premera BCBS
| Facility | $7,500.00 | $20,553.99 | $33,032.33 | |
Providence
| Facility | $7,500.00 | $20,938.08 | $56,506.95 |