| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,775.90 | $45,486.10 | $92,415.60 | |
Cigna
| Facility | $69,527.81 | $69,527.81 | $73,872.00 | |
Premera BCBS
| Facility | $7,500.00 | $26,870.40 | $43,492.78 | |
Providence
| Facility | $7,500.00 | $27,568.59 | $73,872.00 |