| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,416.90 | $27,581.20 | $56,037.60 | |
Cigna
| Facility | $42,159.28 | $42,159.28 | $44,793.45 | |
Premera BCBS
| Facility | $7,500.00 | $16,293.29 | $25,822.38 | |
Providence
| Facility | $7,500.00 | $16,367.93 | $44,793.45 |