| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,101.00 | $30,803.20 | $62,583.70 | |
Cigna
| Facility | $47,084.17 | $47,084.17 | $50,026.05 | |
Premera BCBS
| Facility | $7,500.00 | $18,196.61 | $30,986.37 | |
Providence
| Facility | $7,500.00 | $19,641.20 | $50,026.05 |