| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,565.80 | $29,779.20 | $60,503.30 | |
Cigna
| Facility | $45,518.99 | $45,518.99 | $48,363.08 | |
Premera BCBS
| Facility | $7,500.00 | $17,591.72 | $26,467.57 | |
Providence
| Facility | $7,500.00 | $16,776.90 | $48,363.08 |