| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,563.00 | $29,773.90 | $60,492.60 | |
Cigna
| Facility | $45,510.94 | $45,510.94 | $48,354.53 | |
Premera BCBS
| Facility | $7,500.00 | $17,588.61 | $27,662.28 | |
Providence
| Facility | $7,500.00 | $17,534.18 | $48,354.53 |