| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,340.30 | $48,479.10 | $98,496.40 | |
Cigna
| Facility | $74,102.64 | $74,102.64 | $78,732.67 | |
Premera BCBS
| Facility | $7,500.00 | $28,638.43 | $44,383.29 | |
Providence
| Facility | $7,500.00 | $28,133.06 | $78,732.67 |