| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,144.50 | $27,060.00 | $54,978.70 | |
Cigna
| Facility | $41,362.61 | $41,362.61 | $43,947.00 | |
Premera BCBS
| Facility | $7,500.00 | $15,985.40 | $26,023.55 | |
Providence
| Facility | $7,500.00 | $16,495.43 | $43,947.00 |