| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,115.90 | $28,918.40 | $58,754.50 | |
Cigna
| Facility | $44,203.27 | $44,203.27 | $46,965.15 | |
Premera BCBS
| Facility | $7,500.00 | $17,083.23 | $26,300.76 | |
Providence
| Facility | $7,500.00 | $16,671.16 | $46,965.15 |