| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,028.90 | $26,838.90 | $54,529.50 | |
Cigna
| Facility | $41,024.62 | $41,024.62 | $43,587.90 | |
Premera BCBS
| Facility | $7,500.00 | $15,854.78 | $26,761.96 | |
Providence
| Facility | $7,500.00 | $16,963.50 | $43,587.90 |