| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,116.90 | $27,007.40 | $54,871.80 | |
Cigna
| Facility | $41,282.14 | $41,282.14 | $43,861.50 | |
Premera BCBS
| Facility | $7,500.00 | $15,954.30 | $25,851.82 | |
Providence
| Facility | $7,500.00 | $16,386.59 | $43,861.50 |