| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,205.40 | $38,655.30 | $78,537.20 | |
Cigna
| Facility | $59,086.57 | $59,086.57 | $62,778.38 | |
Premera BCBS
| Facility | $7,500.00 | $22,835.18 | $37,210.14 | |
Providence
| Facility | $7,500.00 | $23,586.24 | $62,778.38 |