| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,076.20 | $21,190.00 | $43,052.40 | |
Cigna
| Facility | $32,389.98 | $32,389.98 | $34,413.75 | |
Premera BCBS
| Facility | $7,500.00 | $12,517.75 | $19,981.31 | |
Providence
| Facility | $7,500.00 | $12,665.48 | $34,413.75 |