| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,238.60 | $31,066.40 | $63,118.60 | |
Cigna
| Facility | $47,486.53 | $47,486.53 | $50,453.55 | |
Premera BCBS
| Facility | $7,500.00 | $18,352.11 | $28,530.72 | |
Providence
| Facility | $7,500.00 | $18,084.65 | $50,453.55 |