| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,091.30 | $21,219.00 | $43,111.20 | |
Cigna
| Facility | $32,434.24 | $32,434.24 | $34,460.78 | |
Premera BCBS
| Facility | $7,500.00 | $12,534.86 | $19,966.59 | |
Providence
| Facility | $7,500.00 | $12,656.14 | $34,460.78 |