| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,088.50 | $25,808.00 | $39,532.00 | |
Cigna
| Facility | $32,426.19 | $32,426.19 | $34,452.23 | |
Premera BCBS
| Facility | $7,500.00 | $12,531.74 | $20,116.24 | |
Providence
| Facility | $7,500.00 | $12,751.00 | $34,452.23 |