| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,566.70 | $35,520.30 | $72,167.60 | |
Cigna
| Facility | $54,294.46 | $54,294.46 | $57,686.85 | |
Premera BCBS
| Facility | $7,500.00 | $20,983.17 | $30,191.53 | |
Providence
| Facility | $7,500.00 | $19,137.39 | $57,686.85 |