| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,964.80 | $30,542.60 | $44,408.00 | |
Cigna
| Facility | $46,685.83 | $46,685.83 | $49,602.83 | |
Premera BCBS
| Facility | $7,500.00 | $18,042.66 | $28,712.25 | |
Providence
| Facility | $7,500.00 | $18,199.72 | $49,602.83 |