| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,584.40 | $43,206.60 | $87,784.10 | |
Cigna
| Facility | $66,043.37 | $66,043.37 | $70,169.85 | |
Premera BCBS
| Facility | $7,500.00 | $25,523.77 | $38,397.49 | |
Providence
| Facility | $7,500.00 | $24,338.86 | $70,169.85 |