| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,366.30 | $29,397.50 | $59,727.80 | |
Cigna
| Facility | $44,935.56 | $44,935.56 | $47,743.20 | |
Premera BCBS
| Facility | $7,500.00 | $17,366.24 | $30,385.34 | |
Providence
| Facility | $7,500.00 | $19,260.23 | $47,743.20 |