| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,583.30 | $45,117.60 | $91,666.80 | |
Cigna
| Facility | $68,964.50 | $68,964.50 | $73,273.50 | |
Premera BCBS
| Facility | $7,500.00 | $26,652.70 | $40,921.83 | |
Providence
| Facility | $7,500.00 | $25,938.95 | $73,273.50 |