| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,817.50 | $47,478.80 | $96,464.10 | |
Cigna
| Facility | $72,573.67 | $72,573.67 | $77,108.17 | |
Premera BCBS
| Facility | $7,500.00 | $28,047.54 | $46,257.54 | |
Providence
| Facility | $7,500.00 | $29,321.08 | $77,108.17 |