| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,969.70 | $26,725.70 | $54,299.50 | |
Cigna
| Facility | $40,851.61 | $40,851.61 | $43,404.08 | |
Premera BCBS
| Facility | $7,500.00 | $15,787.92 | $23,997.20 | |
Providence
| Facility | $7,500.00 | $15,211.01 | $43,404.08 |