| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,075.70 | $26,928.40 | $54,711.30 | |
Cigna
| Facility | $41,161.43 | $41,161.43 | $43,733.25 | |
Premera BCBS
| Facility | $7,500.00 | $15,907.65 | $25,974.48 | |
Providence
| Facility | $7,500.00 | $16,464.34 | $43,733.25 |