| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,433.10 | $25,699.10 | $52,213.70 | |
Cigna
| Facility | $39,282.41 | $39,282.41 | $41,736.83 | |
Premera BCBS
| Facility | $7,500.00 | $15,181.46 | $24,345.56 | |
Providence
| Facility | $7,500.00 | $15,431.82 | $41,736.83 |