| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,986.90 | $40,150.50 | $81,574.89 | |
Cigna
| Facility | $61,371.97 | $61,371.97 | $65,206.58 | |
Premera BCBS
| Facility | $7,500.00 | $23,718.42 | $37,973.08 | |
Providence
| Facility | $7,500.00 | $24,069.85 | $65,206.58 |