| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,992.50 | $22,943.10 | $46,614.20 | |
Cigna
| Facility | $35,069.69 | $35,069.69 | $37,260.90 | |
Premera BCBS
| Facility | $7,500.00 | $13,553.38 | $21,374.73 | |
Providence
| Facility | $7,500.00 | $13,548.72 | $37,260.90 |