| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,948.80 | $24,772.60 | $50,331.20 | |
Cigna
| Facility | $37,866.10 | $37,866.10 | $40,232.03 | |
Premera BCBS
| Facility | $7,500.00 | $14,634.11 | $22,221.09 | |
Providence
| Facility | $7,500.00 | $14,085.19 | $40,232.03 |