| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,622.00 | $37,539.19 | $76,269.60 | |
Cigna
| Facility | $57,380.56 | $57,380.56 | $60,965.78 | |
Premera BCBS
| Facility | $7,500.00 | $22,175.86 | $33,694.69 | |
Providence
| Facility | $7,500.00 | $21,357.93 | $60,965.78 |