| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,571.20 | $20,224.00 | $41,089.60 | |
Cigna
| Facility | $30,913.32 | $30,913.32 | $32,844.83 | |
Premera BCBS
| Facility | $7,500.00 | $11,947.07 | $19,110.43 | |
Providence
| Facility | $7,500.00 | $12,113.45 | $32,844.83 |