| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,646.10 | $24,193.50 | $49,154.60 | |
Cigna
| Facility | $36,980.91 | $36,980.91 | $39,291.53 | |
Premera BCBS
| Facility | $7,500.00 | $14,292.01 | $22,613.60 | |
Providence
| Facility | $7,500.00 | $14,333.99 | $39,291.53 |