| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,404.50 | $27,557.50 | $55,989.50 | |
Cigna
| Facility | $42,123.07 | $42,123.07 | $44,754.98 | |
Premera BCBS
| Facility | $7,500.00 | $16,279.29 | $26,489.65 | |
Providence
| Facility | $7,500.00 | $16,790.89 | $44,754.98 |