| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,341.40 | $19,784.40 | $40,196.50 | |
Cigna
| Facility | $30,241.38 | $30,241.38 | $32,130.90 | |
Premera BCBS
| Facility | $7,500.00 | $11,687.38 | $18,337.66 | |
Providence
| Facility | $7,500.00 | $11,623.63 | $32,130.90 |