| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,187.10 | $27,141.60 | $55,144.50 | |
Cigna
| Facility | $41,487.33 | $41,487.33 | $44,079.53 | |
Premera BCBS
| Facility | $7,500.00 | $16,033.60 | $25,758.60 | |
Providence
| Facility | $7,500.00 | $16,327.50 | $44,079.53 |