| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,869.90 | $30,360.90 | $61,685.30 | |
Cigna
| Facility | $46,408.20 | $46,408.20 | $49,307.85 | |
Premera BCBS
| Facility | $7,500.00 | $17,935.37 | $28,400.70 | |
Providence
| Facility | $7,500.00 | $18,002.24 | $49,307.85 |