| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,812.00 | $20,684.59 | $42,025.60 | |
Cigna
| Facility | $31,617.45 | $31,617.45 | $33,592.94 | |
Premera BCBS
| Facility | $7,500.00 | $12,219.19 | $16,640.06 | |
Providence
| Facility | $7,500.00 | $10,547.57 | $33,592.94 |