| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,659.50 | $49,089.80 | $99,737.20 | |
Cigna
| Facility | $75,036.12 | $75,036.12 | $79,724.48 | |
Premera BCBS
| Facility | $7,500.00 | $28,999.20 | $45,533.85 | |
Providence
| Facility | $7,500.00 | $28,862.36 | $79,724.48 |