| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,373.40 | $31,324.40 | $63,642.70 | |
Cigna
| Facility | $47,880.84 | $47,880.84 | $50,872.50 | |
Premera BCBS
| Facility | $7,500.00 | $18,504.50 | $28,820.19 | |
Providence
| Facility | $7,500.00 | $18,268.14 | $50,872.50 |