| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,058.90 | $24,983.20 | $50,759.00 | |
Cigna
| Facility | $38,187.99 | $38,187.99 | $40,574.03 | |
Premera BCBS
| Facility | $7,500.00 | $14,758.51 | $24,284.23 | |
Providence
| Facility | $7,500.00 | $15,392.95 | $40,574.03 |