| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,322.70 | $23,574.90 | $47,897.80 | |
Cigna
| Facility | $36,035.36 | $36,035.36 | $38,286.90 | |
Premera BCBS
| Facility | $7,500.00 | $13,926.58 | $22,196.55 | |
Providence
| Facility | $7,500.00 | $14,069.64 | $38,286.90 |