| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,058.10 | $28,807.90 | $58,529.90 | |
Cigna
| Facility | $44,034.28 | $44,034.28 | $46,785.60 | |
Premera BCBS
| Facility | $7,500.00 | $17,017.91 | $26,602.50 | |
Providence
| Facility | $7,500.00 | $16,862.41 | $46,785.60 |