| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,750.20 | $30,131.90 | $61,220.00 | |
Cigna
| Facility | $46,058.15 | $46,058.15 | $48,935.93 | |
Premera BCBS
| Facility | $7,500.00 | $17,800.09 | $27,576.42 | |
Providence
| Facility | $7,500.00 | $17,479.75 | $48,935.93 |