| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,722.60 | $30,079.30 | $61,113.00 | |
Cigna
| Facility | $45,977.68 | $45,977.68 | $48,850.43 | |
Premera BCBS
| Facility | $7,500.00 | $17,768.99 | $27,546.98 | |
Providence
| Facility | $7,500.00 | $17,461.09 | $48,850.43 |