| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,982.90 | $20,379.09 | $33,331.90 | |
Cigna
| Facility | $35,041.53 | $35,041.53 | $37,230.98 | |
Premera BCBS
| Facility | $7,500.00 | $13,542.50 | $21,610.24 | |
Providence
| Facility | $7,500.00 | $13,698.00 | $37,230.98 |