| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,403.50 | $39,034.40 | $79,307.30 | |
Cigna
| Facility | $59,665.96 | $59,665.96 | $63,393.98 | |
Premera BCBS
| Facility | $7,500.00 | $23,059.10 | $36,044.87 | |
Providence
| Facility | $7,500.00 | $22,847.62 | $63,393.98 |