| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,630.50 | $39,468.69 | $80,189.80 | |
Cigna
| Facility | $60,329.86 | $60,329.86 | $64,099.35 | |
Premera BCBS
| Facility | $7,500.00 | $23,315.67 | $37,023.69 | |
Providence
| Facility | $7,500.00 | $23,468.06 | $64,099.35 |