| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,938.00 | $43,883.10 | $89,158.60 | |
Cigna
| Facility | $67,077.44 | $67,077.44 | $71,268.53 | |
Premera BCBS
| Facility | $7,500.00 | $25,923.41 | $43,090.46 | |
Providence
| Facility | $7,500.00 | $27,313.58 | $71,268.53 |