| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,354.30 | $40,853.30 | $83,002.89 | |
Cigna
| Facility | $62,446.27 | $62,446.27 | $66,348.00 | |
Premera BCBS
| Facility | $7,500.00 | $24,133.60 | $37,963.26 | |
Providence
| Facility | $7,500.00 | $24,063.63 | $66,348.00 |