| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,088.09 | $36,517.90 | $74,194.50 | |
Cigna
| Facility | $55,819.40 | $55,819.40 | $59,307.08 | |
Premera BCBS
| Facility | $7,500.00 | $21,572.52 | $33,417.49 | |
Providence
| Facility | $7,500.00 | $21,182.21 | $59,307.08 |