| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,183.00 | $27,133.70 | $55,128.50 | |
Cigna
| Facility | $41,475.26 | $41,475.26 | $44,066.70 | |
Premera BCBS
| Facility | $7,500.00 | $16,028.94 | $25,572.16 | |
Providence
| Facility | $7,500.00 | $16,209.32 | $44,066.70 |