| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,493.60 | $25,815.00 | $52,449.10 | |
Cigna
| Facility | $39,459.44 | $39,459.44 | $41,924.93 | |
Premera BCBS
| Facility | $7,500.00 | $15,249.89 | $24,186.10 | |
Providence
| Facility | $7,500.00 | $15,330.75 | $41,924.93 |