| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,657.50 | $35,694.00 | $72,520.60 | |
Cigna
| Facility | $54,560.02 | $54,560.02 | $57,969.00 | |
Premera BCBS
| Facility | $7,500.00 | $21,085.80 | $27,120.13 | |
Providence
| Facility | $7,500.00 | $17,190.52 | $57,969.00 |