| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,681.60 | $22,348.20 | $45,405.60 | |
Cigna
| Facility | $34,160.36 | $34,160.36 | $36,294.75 | |
Premera BCBS
| Facility | $7,500.00 | $13,201.95 | $21,129.41 | |
Providence
| Facility | $7,500.00 | $13,393.22 | $36,294.75 |