| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,309.79 | $19,723.80 | $40,073.50 | |
Cigna
| Facility | $30,148.83 | $30,148.83 | $32,032.58 | |
Premera BCBS
| Facility | $7,500.00 | $11,651.62 | $18,349.93 | |
Providence
| Facility | $7,500.00 | $11,631.40 | $32,032.58 |