| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,651.10 | $29,942.40 | $60,834.90 | |
Cigna
| Facility | $45,768.45 | $45,768.45 | $48,628.13 | |
Premera BCBS
| Facility | $7,500.00 | $17,688.13 | $25,140.39 | |
Providence
| Facility | $7,500.00 | $15,935.64 | $48,628.13 |