| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,791.90 | $24,472.50 | $49,721.50 | |
Cigna
| Facility | $37,407.41 | $37,407.41 | $39,744.68 | |
Premera BCBS
| Facility | $7,500.00 | $14,456.84 | $24,016.83 | |
Providence
| Facility | $7,500.00 | $15,223.45 | $39,744.68 |