| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,421.50 | $21,850.70 | $44,394.80 | |
Cigna
| Facility | $33,399.90 | $33,399.90 | $35,486.78 | |
Premera BCBS
| Facility | $7,500.00 | $12,908.05 | $20,474.41 | |
Providence
| Facility | $7,500.00 | $12,978.03 | $35,486.78 |