| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,566.90 | $27,868.20 | $56,620.60 | |
Cigna
| Facility | $42,597.85 | $42,597.85 | $45,259.43 | |
Premera BCBS
| Facility | $7,500.00 | $16,462.79 | $27,004.83 | |
Providence
| Facility | $7,500.00 | $17,117.43 | $45,259.43 |