| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,639.30 | $33,746.10 | $68,562.89 | |
Cigna
| Facility | $51,582.55 | $51,582.55 | $54,805.50 | |
Premera BCBS
| Facility | $7,500.00 | $19,935.09 | $32,625.11 | |
Providence
| Facility | $7,500.00 | $20,679.95 | $54,805.50 |