| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,185.50 | $34,791.10 | $70,686.10 | |
Cigna
| Facility | $53,179.92 | $53,179.92 | $56,502.68 | |
Premera BCBS
| Facility | $7,500.00 | $20,552.43 | $32,870.43 | |
Providence
| Facility | $7,500.00 | $20,835.45 | $56,502.68 |