| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,305.80 | $38,847.50 | $78,927.60 | |
Cigna
| Facility | $59,380.29 | $59,380.29 | $63,090.45 | |
Premera BCBS
| Facility | $7,500.00 | $22,948.69 | $31,634.01 | |
Providence
| Facility | $7,500.00 | $20,051.73 | $63,090.45 |