| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,779.30 | $32,100.90 | $65,220.40 | |
Cigna
| Facility | $49,067.80 | $49,067.80 | $52,133.63 | |
Premera BCBS
| Facility | $7,500.00 | $18,963.23 | $31,172.81 | |
Providence
| Facility | $7,500.00 | $19,759.39 | $52,133.63 |