| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,855.90 | $37,986.69 | $77,178.80 | |
Cigna
| Facility | $58,064.57 | $58,064.57 | $61,692.53 | |
Premera BCBS
| Facility | $7,500.00 | $22,440.21 | $35,304.00 | |
Providence
| Facility | $7,500.00 | $22,378.01 | $61,692.53 |