| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,604.09 | $37,505.00 | $76,200.10 | |
Cigna
| Facility | $57,328.25 | $57,328.25 | $60,910.20 | |
Premera BCBS
| Facility | $7,500.00 | $22,155.64 | $35,907.49 | |
Providence
| Facility | $7,500.00 | $22,760.54 | $60,910.20 |