| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,151.00 | $25,159.50 | $51,117.40 | |
Cigna
| Facility | $38,457.57 | $38,457.57 | $40,860.44 | |
Premera BCBS
| Facility | $7,500.00 | $14,862.69 | $23,452.59 | |
Providence
| Facility | $7,500.00 | $14,865.80 | $40,860.44 |