| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,564.30 | $20,210.80 | $41,062.90 | |
Cigna
| Facility | $30,893.20 | $30,893.20 | $32,823.44 | |
Premera BCBS
| Facility | $7,500.00 | $11,939.29 | $20,256.07 | |
Providence
| Facility | $7,500.00 | $12,839.64 | $32,823.44 |