| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,834.00 | $20,726.70 | $42,111.10 | |
Cigna
| Facility | $31,681.83 | $31,681.83 | $33,661.35 | |
Premera BCBS
| Facility | $7,500.00 | $12,244.07 | $21,460.59 | |
Providence
| Facility | $7,500.00 | $13,603.14 | $33,661.35 |