| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,048.10 | $26,875.80 | $54,604.30 | |
Cigna
| Facility | $41,080.96 | $41,080.96 | $43,647.75 | |
Premera BCBS
| Facility | $7,500.00 | $15,876.55 | $25,250.79 | |
Providence
| Facility | $7,500.00 | $16,005.62 | $43,647.75 |