| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,081.59 | $38,418.40 | $78,055.89 | |
Cigna
| Facility | $58,724.44 | $58,724.44 | $62,393.63 | |
Premera BCBS
| Facility | $7,500.00 | $22,695.23 | $34,374.24 | |
Providence
| Facility | $7,500.00 | $21,788.66 | $62,393.63 |