| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,567.00 | $37,433.90 | $76,055.70 | |
Cigna
| Facility | $57,219.62 | $57,219.62 | $60,794.78 | |
Premera BCBS
| Facility | $7,500.00 | $22,113.66 | $30,446.67 | |
Providence
| Facility | $7,500.00 | $19,299.11 | $60,794.78 |