| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,253.20 | $36,833.80 | $74,836.30 | |
Cigna
| Facility | $56,302.23 | $56,302.23 | $59,820.08 | |
Premera BCBS
| Facility | $7,500.00 | $21,759.12 | $35,151.90 | |
Providence
| Facility | $7,500.00 | $22,281.60 | $59,820.08 |