| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,574.20 | $22,142.90 | $44,988.40 | |
Cigna
| Facility | $33,846.51 | $33,846.51 | $35,961.30 | |
Premera BCBS
| Facility | $7,500.00 | $13,080.66 | $21,102.43 | |
Providence
| Facility | $7,500.00 | $13,376.11 | $35,961.30 |