| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,609.20 | $26,036.10 | $52,898.30 | |
Cigna
| Facility | $39,797.43 | $39,797.43 | $42,284.03 | |
Premera BCBS
| Facility | $7,500.00 | $15,380.51 | $24,627.67 | |
Providence
| Facility | $7,500.00 | $15,610.65 | $42,284.03 |