| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,354.10 | $21,721.70 | $44,132.70 | |
Cigna
| Facility | $33,202.75 | $33,202.75 | $35,277.30 | |
Premera BCBS
| Facility | $7,500.00 | $12,831.86 | $22,493.39 | |
Providence
| Facility | $7,500.00 | $14,257.80 | $35,277.30 |