| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,331.60 | $27,418.00 | $55,706.10 | |
Cigna
| Facility | $41,909.82 | $41,909.82 | $44,528.40 | |
Premera BCBS
| Facility | $7,500.00 | $16,196.88 | $23,482.03 | |
Providence
| Facility | $7,500.00 | $14,884.46 | $44,528.40 |