| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,542.70 | $31,648.10 | $64,300.50 | |
Cigna
| Facility | $48,375.74 | $48,375.74 | $51,398.33 | |
Premera BCBS
| Facility | $7,500.00 | $18,695.77 | $29,063.06 | |
Providence
| Facility | $7,500.00 | $18,422.09 | $51,398.33 |