| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,717.60 | $24,330.30 | $49,432.70 | |
Cigna
| Facility | $37,190.12 | $37,190.12 | $39,513.83 | |
Premera BCBS
| Facility | $7,500.00 | $14,372.87 | $21,659.30 | |
Providence
| Facility | $7,500.00 | $13,729.10 | $39,513.83 |