| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,027.80 | $28,750.00 | $58,412.20 | |
Cigna
| Facility | $43,945.76 | $43,945.76 | $46,691.55 | |
Premera BCBS
| Facility | $7,500.00 | $16,983.71 | $21,880.09 | |
Providence
| Facility | $7,500.00 | $13,869.05 | $46,691.55 |