| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,990.80 | $21,026.80 | $42,720.80 | |
Cigna
| Facility | $32,140.52 | $32,140.52 | $34,148.69 | |
Premera BCBS
| Facility | $7,500.00 | $12,421.34 | $19,630.50 | |
Providence
| Facility | $7,500.00 | $12,443.11 | $34,148.69 |