| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,245.40 | $48,297.40 | $98,127.40 | |
Cigna
| Facility | $73,825.00 | $73,825.00 | $78,437.70 | |
Premera BCBS
| Facility | $7,500.00 | $28,531.14 | $44,810.15 | |
Providence
| Facility | $7,500.00 | $28,403.63 | $78,437.70 |