| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,494.20 | $29,642.30 | $60,225.20 | |
Cigna
| Facility | $45,309.76 | $45,309.76 | $48,140.78 | |
Premera BCBS
| Facility | $7,500.00 | $17,510.86 | $27,937.04 | |
Providence
| Facility | $7,500.00 | $17,708.34 | $48,140.78 |