| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,901.10 | $45,725.70 | $92,902.30 | |
Cigna
| Facility | $69,893.96 | $69,893.96 | $74,261.03 | |
Premera BCBS
| Facility | $7,500.00 | $27,011.91 | $41,078.83 | |
Providence
| Facility | $7,500.00 | $26,038.48 | $74,261.03 |