| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,480.00 | $35,354.40 | $71,830.60 | |
Cigna
| Facility | $54,040.97 | $54,040.97 | $57,417.53 | |
Premera BCBS
| Facility | $7,500.00 | $20,885.20 | $30,218.52 | |
Providence
| Facility | $7,500.00 | $19,154.49 | $57,417.53 |