| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,707.59 | $39,616.10 | $80,489.30 | |
Cigna
| Facility | $60,555.18 | $60,555.18 | $64,338.75 | |
Premera BCBS
| Facility | $7,500.00 | $23,402.75 | $35,875.60 | |
Providence
| Facility | $7,500.00 | $22,740.32 | $64,338.75 |