| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,874.50 | $24,630.40 | $50,042.40 | |
Cigna
| Facility | $37,648.83 | $37,648.83 | $40,001.18 | |
Premera BCBS
| Facility | $7,500.00 | $14,550.14 | $23,091.97 | |
Providence
| Facility | $7,500.00 | $14,637.22 | $40,001.18 |