| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,246.30 | $27,254.80 | $55,374.50 | |
Cigna
| Facility | $41,660.35 | $41,660.35 | $44,263.35 | |
Premera BCBS
| Facility | $7,500.00 | $16,100.47 | $25,184.55 | |
Providence
| Facility | $7,500.00 | $15,963.63 | $44,263.35 |