| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,407.00 | $25,649.10 | $52,112.10 | |
Cigna
| Facility | $39,205.96 | $39,205.96 | $41,655.60 | |
Premera BCBS
| Facility | $7,500.00 | $15,151.92 | $25,012.83 | |
Providence
| Facility | $7,500.00 | $15,854.78 | $41,655.60 |