| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,371.70 | $19,842.30 | $40,314.19 | |
Cigna
| Facility | $30,329.90 | $30,329.90 | $32,224.95 | |
Premera BCBS
| Facility | $7,500.00 | $11,721.59 | $20,545.55 | |
Providence
| Facility | $7,500.00 | $13,023.13 | $32,224.95 |