| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,193.40 | $23,327.40 | $47,395.10 | |
Cigna
| Facility | $35,657.14 | $35,657.14 | $37,885.05 | |
Premera BCBS
| Facility | $7,500.00 | $13,780.41 | $19,956.78 | |
Providence
| Facility | $7,500.00 | $12,649.93 | $37,885.05 |