| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,494.80 | $33,469.69 | $68,001.39 | |
Cigna
| Facility | $51,160.07 | $51,160.07 | $54,356.63 | |
Premera BCBS
| Facility | $7,500.00 | $19,771.83 | $30,534.98 | |
Providence
| Facility | $7,500.00 | $19,355.09 | $54,356.63 |