| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,389.60 | $19,876.50 | $40,383.69 | |
Cigna
| Facility | $30,382.20 | $30,382.20 | $32,280.53 | |
Premera BCBS
| Facility | $7,500.00 | $11,741.81 | $18,416.16 | |
Providence
| Facility | $7,500.00 | $11,673.39 | $32,280.53 |