| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,281.80 | $25,409.60 | $51,625.40 | |
Cigna
| Facility | $38,839.81 | $38,839.81 | $41,266.58 | |
Premera BCBS
| Facility | $7,500.00 | $15,010.42 | $23,702.82 | |
Providence
| Facility | $7,500.00 | $15,024.41 | $41,266.58 |