| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,643.09 | $31,840.30 | $64,690.90 | |
Cigna
| Facility | $48,669.47 | $48,669.47 | $51,710.40 | |
Premera BCBS
| Facility | $7,500.00 | $18,809.28 | $30,142.47 | |
Providence
| Facility | $7,500.00 | $19,106.29 | $51,710.40 |