| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,383.00 | $21,777.00 | $44,245.00 | |
Cigna
| Facility | $33,287.24 | $33,287.24 | $35,367.08 | |
Premera BCBS
| Facility | $7,500.00 | $12,864.52 | $19,556.91 | |
Providence
| Facility | $7,500.00 | $12,396.46 | $35,367.08 |