| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,763.20 | $43,548.80 | $88,479.40 | |
Cigna
| Facility | $66,566.44 | $66,566.44 | $70,725.60 | |
Premera BCBS
| Facility | $7,500.00 | $25,725.92 | $41,235.83 | |
Providence
| Facility | $7,500.00 | $26,138.00 | $70,725.60 |