| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,173.90 | $30,942.70 | $62,867.20 | |
Cigna
| Facility | $47,297.42 | $47,297.42 | $50,252.63 | |
Premera BCBS
| Facility | $7,500.00 | $18,279.03 | $27,922.32 | |
Providence
| Facility | $7,500.00 | $17,699.00 | $50,252.63 |