| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,532.50 | $27,802.40 | $56,486.90 | |
Cigna
| Facility | $42,497.26 | $42,497.26 | $45,152.55 | |
Premera BCBS
| Facility | $7,500.00 | $16,423.91 | $26,241.88 | |
Providence
| Facility | $7,500.00 | $16,633.84 | $45,152.55 |