| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,697.80 | $47,249.80 | $95,998.80 | |
Cigna
| Facility | $72,223.62 | $72,223.62 | $76,736.25 | |
Premera BCBS
| Facility | $7,500.00 | $27,912.25 | $42,283.36 | |
Providence
| Facility | $7,500.00 | $26,801.98 | $76,736.25 |