| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,762.00 | $26,328.30 | $53,491.90 | |
Cigna
| Facility | $40,244.05 | $40,244.05 | $42,758.55 | |
Premera BCBS
| Facility | $7,500.00 | $15,553.11 | $24,963.76 | |
Providence
| Facility | $7,500.00 | $15,823.68 | $42,758.55 |