| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,226.70 | $25,304.30 | $51,411.50 | |
Cigna
| Facility | $38,678.87 | $38,678.87 | $41,095.58 | |
Premera BCBS
| Facility | $7,500.00 | $14,948.22 | $23,643.94 | |
Providence
| Facility | $7,500.00 | $14,987.09 | $41,095.58 |