| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,610.09 | $31,777.10 | $64,562.60 | |
Cigna
| Facility | $48,572.90 | $48,572.90 | $51,607.80 | |
Premera BCBS
| Facility | $7,500.00 | $18,771.96 | $29,561.06 | |
Providence
| Facility | $7,500.00 | $18,737.75 | $51,607.80 |