| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,464.30 | $31,498.10 | $63,995.60 | |
Cigna
| Facility | $48,146.40 | $48,146.40 | $51,154.65 | |
Premera BCBS
| Facility | $7,500.00 | $18,607.13 | $28,535.62 | |
Providence
| Facility | $7,500.00 | $18,087.75 | $51,154.65 |