| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,829.70 | $28,370.90 | $57,642.10 | |
Cigna
| Facility | $43,366.36 | $43,366.36 | $46,075.95 | |
Premera BCBS
| Facility | $7,500.00 | $16,759.79 | $24,576.16 | |
Providence
| Facility | $7,500.00 | $15,577.99 | $46,075.95 |