| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,867.00 | $20,789.90 | $42,239.50 | |
Cigna
| Facility | $31,778.39 | $31,778.39 | $33,763.94 | |
Premera BCBS
| Facility | $7,500.00 | $12,281.39 | $19,667.30 | |
Providence
| Facility | $7,500.00 | $12,466.44 | $33,763.94 |