| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,685.59 | $39,574.00 | $80,403.70 | |
Cigna
| Facility | $60,490.80 | $60,490.80 | $64,270.35 | |
Premera BCBS
| Facility | $7,500.00 | $23,377.87 | $35,470.82 | |
Providence
| Facility | $7,500.00 | $22,483.75 | $64,270.35 |