| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,410.40 | $39,047.50 | $79,334.10 | |
Cigna
| Facility | $59,686.08 | $59,686.08 | $63,415.35 | |
Premera BCBS
| Facility | $7,500.00 | $23,066.87 | $40,431.19 | |
Providence
| Facility | $7,500.00 | $25,627.95 | $63,415.35 |