| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,855.30 | $34,159.40 | $69,402.60 | |
Cigna
| Facility | $52,214.26 | $52,214.26 | $55,476.68 | |
Premera BCBS
| Facility | $7,500.00 | $20,179.24 | $35,370.24 | |
Providence
| Facility | $7,500.00 | $22,419.99 | $55,476.68 |