| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,331.00 | $23,590.70 | $47,929.90 | |
Cigna
| Facility | $36,059.50 | $36,059.50 | $38,312.55 | |
Premera BCBS
| Facility | $7,500.00 | $13,935.91 | $22,500.75 | |
Providence
| Facility | $7,500.00 | $14,262.46 | $38,312.55 |