| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,471.30 | $23,859.20 | $48,475.40 | |
Cigna
| Facility | $36,469.91 | $36,469.91 | $38,748.60 | |
Premera BCBS
| Facility | $7,500.00 | $14,094.52 | $21,203.01 | |
Providence
| Facility | $7,500.00 | $13,439.87 | $38,748.60 |