| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,585.50 | $24,077.60 | $48,919.30 | |
Cigna
| Facility | $36,803.87 | $36,803.87 | $39,103.43 | |
Premera BCBS
| Facility | $7,500.00 | $14,223.59 | $21,686.29 | |
Providence
| Facility | $7,500.00 | $13,746.20 | $39,103.43 |