| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,322.50 | $31,227.00 | $63,444.80 | |
Cigna
| Facility | $47,731.97 | $47,731.97 | $50,714.33 | |
Premera BCBS
| Facility | $7,500.00 | $18,446.97 | $29,992.82 | |
Providence
| Facility | $7,500.00 | $19,011.43 | $50,714.33 |