| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,321.40 | $23,572.20 | $47,892.40 | |
Cigna
| Facility | $36,031.33 | $36,031.33 | $38,282.62 | |
Premera BCBS
| Facility | $7,500.00 | $13,925.03 | $21,924.25 | |
Providence
| Facility | $7,500.00 | $13,897.04 | $38,282.62 |