| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,068.00 | $30,740.00 | $62,455.40 | |
Cigna
| Facility | $46,987.60 | $46,987.60 | $49,923.45 | |
Premera BCBS
| Facility | $7,500.00 | $18,159.29 | $27,046.53 | |
Providence
| Facility | $7,500.00 | $17,143.88 | $49,923.45 |