| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,103.20 | $26,981.10 | $54,818.30 | |
Cigna
| Facility | $41,241.90 | $41,241.90 | $43,818.75 | |
Premera BCBS
| Facility | $7,500.00 | $15,938.75 | $25,353.82 | |
Providence
| Facility | $7,500.00 | $16,070.93 | $43,818.75 |