| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,289.70 | $23,511.70 | $47,769.40 | |
Cigna
| Facility | $35,938.80 | $35,938.80 | $38,184.30 | |
Premera BCBS
| Facility | $7,500.00 | $13,889.26 | $21,190.74 | |
Providence
| Facility | $7,500.00 | $13,432.09 | $38,184.30 |