| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,926.50 | $22,816.80 | $46,357.50 | |
Cigna
| Facility | $34,876.56 | $34,876.56 | $37,055.69 | |
Premera BCBS
| Facility | $7,500.00 | $13,478.74 | $20,817.86 | |
Providence
| Facility | $7,500.00 | $13,195.73 | $37,055.69 |