| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,419.10 | $23,759.10 | $48,272.20 | |
Cigna
| Facility | $36,317.01 | $36,317.01 | $38,586.15 | |
Premera BCBS
| Facility | $7,500.00 | $14,035.43 | $22,608.69 | |
Providence
| Facility | $7,500.00 | $14,330.88 | $38,586.15 |