| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,579.90 | $41,285.00 | $83,880.00 | |
Cigna
| Facility | $63,106.14 | $63,106.14 | $67,049.10 | |
Premera BCBS
| Facility | $7,500.00 | $24,388.62 | $40,222.67 | |
Providence
| Facility | $7,500.00 | $25,495.78 | $67,049.10 |