| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,564.90 | $24,038.20 | $48,839.10 | |
Cigna
| Facility | $36,743.51 | $36,743.51 | $39,039.30 | |
Premera BCBS
| Facility | $7,500.00 | $14,200.26 | $22,723.99 | |
Providence
| Facility | $7,500.00 | $14,403.97 | $39,039.30 |