| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,071.00 | $32,658.90 | $66,354.20 | |
Cigna
| Facility | $49,920.81 | $49,920.81 | $53,039.93 | |
Premera BCBS
| Facility | $7,500.00 | $19,292.89 | $29,404.06 | |
Providence
| Facility | $7,500.00 | $18,638.23 | $53,039.93 |