| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,131.00 | $28,947.40 | $58,813.30 | |
Cigna
| Facility | $44,247.53 | $44,247.53 | $47,012.18 | |
Premera BCBS
| Facility | $7,500.00 | $17,100.34 | $26,239.43 | |
Providence
| Facility | $7,500.00 | $16,632.28 | $47,012.18 |