| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,967.50 | $20,982.10 | $42,629.90 | |
Cigna
| Facility | $32,072.12 | $32,072.12 | $34,076.03 | |
Premera BCBS
| Facility | $7,500.00 | $12,394.91 | $19,642.77 | |
Providence
| Facility | $7,500.00 | $12,450.89 | $34,076.03 |