| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,122.60 | $19,365.80 | $39,346.10 | |
Cigna
| Facility | $29,601.63 | $29,601.63 | $31,451.18 | |
Premera BCBS
| Facility | $7,500.00 | $11,440.14 | $18,136.50 | |
Providence
| Facility | $7,500.00 | $11,496.12 | $31,451.18 |