| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,109.20 | $21,253.20 | $43,180.80 | |
Cigna
| Facility | $32,486.55 | $32,486.55 | $34,516.35 | |
Premera BCBS
| Facility | $7,500.00 | $12,555.07 | $19,893.00 | |
Providence
| Facility | $7,500.00 | $12,609.49 | $34,516.35 |