| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,376.80 | $35,157.00 | $71,429.50 | |
Cigna
| Facility | $53,739.20 | $53,739.20 | $57,096.90 | |
Premera BCBS
| Facility | $7,500.00 | $20,768.58 | $32,580.95 | |
Providence
| Facility | $7,500.00 | $20,651.96 | $57,096.90 |