| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,458.59 | $39,139.69 | $79,521.30 | |
Cigna
| Facility | $59,826.91 | $59,826.91 | $63,564.98 | |
Premera BCBS
| Facility | $7,500.00 | $23,121.30 | $38,017.24 | |
Providence
| Facility | $7,500.00 | $24,097.84 | $63,564.98 |