| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,610.30 | $24,125.00 | $49,015.60 | |
Cigna
| Facility | $36,876.29 | $36,876.29 | $39,180.37 | |
Premera BCBS
| Facility | $7,500.00 | $14,251.57 | $22,903.08 | |
Providence
| Facility | $7,500.00 | $14,517.48 | $39,180.37 |