| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,737.80 | $30,108.20 | $61,171.80 | |
Cigna
| Facility | $46,021.94 | $46,021.94 | $48,897.45 | |
Premera BCBS
| Facility | $7,500.00 | $17,786.09 | $27,664.74 | |
Providence
| Facility | $7,500.00 | $17,535.74 | $48,897.45 |