| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,157.00 | $19,431.59 | $39,479.90 | |
Cigna
| Facility | $29,702.22 | $29,702.22 | $31,558.05 | |
Premera BCBS
| Facility | $7,500.00 | $11,479.01 | $17,459.41 | |
Providence
| Facility | $7,500.00 | $11,066.94 | $31,558.05 |