| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,505.40 | $22,011.30 | $44,721.00 | |
Cigna
| Facility | $33,645.33 | $33,645.33 | $35,747.55 | |
Premera BCBS
| Facility | $7,500.00 | $13,002.91 | $18,305.78 | |
Providence
| Facility | $7,500.00 | $11,603.41 | $35,747.55 |