| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,736.10 | $28,191.90 | $57,278.40 | |
Cigna
| Facility | $43,092.76 | $43,092.76 | $45,785.25 | |
Premera BCBS
| Facility | $7,500.00 | $16,654.05 | $27,235.43 | |
Providence
| Facility | $7,500.00 | $17,263.61 | $45,785.25 |