| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,321.20 | $31,224.30 | $63,439.40 | |
Cigna
| Facility | $47,727.94 | $47,727.94 | $50,710.05 | |
Premera BCBS
| Facility | $7,500.00 | $18,445.41 | $30,547.25 | |
Providence
| Facility | $7,500.00 | $19,362.86 | $50,710.05 |