| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,514.70 | $37,333.90 | $75,852.39 | |
Cigna
| Facility | $57,066.72 | $57,066.72 | $60,632.33 | |
Premera BCBS
| Facility | $7,500.00 | $22,054.57 | $30,542.34 | |
Providence
| Facility | $7,500.00 | $19,359.75 | $60,632.33 |