| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,137.50 | $44,264.80 | $89,934.00 | |
Cigna
| Facility | $67,660.86 | $67,660.86 | $71,888.39 | |
Premera BCBS
| Facility | $7,500.00 | $26,148.88 | $42,631.71 | |
Providence
| Facility | $7,500.00 | $27,022.79 | $71,888.39 |