| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,069.00 | $46,046.80 | $93,554.70 | |
Cigna
| Facility | $70,384.83 | $70,384.83 | $74,782.58 | |
Premera BCBS
| Facility | $7,500.00 | $27,201.62 | $40,409.11 | |
Providence
| Facility | $7,500.00 | $25,613.96 | $74,782.58 |