| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,279.40 | $36,883.80 | $74,937.89 | |
Cigna
| Facility | $56,378.68 | $56,378.68 | $59,901.30 | |
Premera BCBS
| Facility | $7,500.00 | $21,788.66 | $36,829.89 | |
Providence
| Facility | $7,500.00 | $23,345.22 | $59,901.30 |