| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,465.90 | $33,414.40 | $67,889.10 | |
Cigna
| Facility | $51,075.58 | $51,075.58 | $54,266.85 | |
Premera BCBS
| Facility | $7,500.00 | $19,739.16 | $31,550.61 | |
Providence
| Facility | $7,500.00 | $19,998.86 | $54,266.85 |