| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,254.90 | $38,750.10 | $78,729.70 | |
Cigna
| Facility | $59,231.42 | $59,231.42 | $62,932.28 | |
Premera BCBS
| Facility | $7,500.00 | $22,891.16 | $36,447.19 | |
Providence
| Facility | $7,500.00 | $23,102.64 | $62,932.28 |