| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,808.00 | $39,532.00 | $74,345.10 | |
Cigna
| Facility | $78,158.42 | $78,158.42 | $83,041.88 | |
Premera BCBS
| Facility | $7,500.00 | $30,205.88 | $48,139.14 | |
Providence
| Facility | $7,500.00 | $30,513.77 | $83,041.88 |