| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,109.40 | $40,384.69 | $82,050.89 | |
Cigna
| Facility | $61,730.07 | $61,730.07 | $65,587.05 | |
Premera BCBS
| Facility | $7,500.00 | $23,856.81 | $36,366.24 | |
Providence
| Facility | $7,500.00 | $23,051.32 | $65,587.05 |