| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,073.80 | $32,664.20 | $66,364.89 | |
Cigna
| Facility | $49,928.85 | $49,928.85 | $53,048.48 | |
Premera BCBS
| Facility | $7,500.00 | $19,296.00 | $30,014.90 | |
Providence
| Facility | $7,500.00 | $19,025.43 | $53,048.48 |