| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,246.20 | $44,472.70 | $90,356.50 | |
Cigna
| Facility | $67,978.72 | $67,978.72 | $72,226.13 | |
Premera BCBS
| Facility | $7,500.00 | $26,271.73 | $41,086.19 | |
Providence
| Facility | $7,500.00 | $26,043.14 | $72,226.13 |