| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,999.80 | $34,435.80 | $69,964.20 | |
Cigna
| Facility | $52,636.74 | $52,636.74 | $55,925.55 | |
Premera BCBS
| Facility | $7,500.00 | $20,342.50 | $31,170.36 | |
Providence
| Facility | $7,500.00 | $19,757.83 | $55,925.55 |