| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,085.09 | $33,122.00 | $50,305.90 | |
Cigna
| Facility | $52,886.20 | $52,886.20 | $56,190.60 | |
Premera BCBS
| Facility | $7,500.00 | $20,438.91 | $32,328.27 | |
Providence
| Facility | $7,500.00 | $20,491.79 | $56,190.60 |