| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,238.70 | $40,632.19 | $82,553.60 | |
Cigna
| Facility | $62,108.29 | $62,108.29 | $65,988.89 | |
Premera BCBS
| Facility | $7,500.00 | $24,002.98 | $38,495.61 | |
Providence
| Facility | $7,500.00 | $24,401.06 | $65,988.89 |