| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,603.40 | $24,111.90 | $48,988.80 | |
Cigna
| Facility | $36,856.18 | $36,856.18 | $39,159.00 | |
Premera BCBS
| Facility | $7,500.00 | $14,243.80 | $22,660.21 | |
Providence
| Facility | $7,500.00 | $14,363.54 | $39,159.00 |