| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,566.09 | $31,692.90 | $64,391.40 | |
Cigna
| Facility | $48,444.14 | $48,444.14 | $51,471.00 | |
Premera BCBS
| Facility | $7,500.00 | $18,722.20 | $29,585.59 | |
Providence
| Facility | $7,500.00 | $18,753.30 | $51,471.00 |