| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,446.90 | $25,725.50 | $52,267.20 | |
Cigna
| Facility | $39,322.64 | $39,322.64 | $41,779.58 | |
Premera BCBS
| Facility | $7,500.00 | $15,197.02 | $23,442.78 | |
Providence
| Facility | $7,500.00 | $14,859.58 | $41,779.58 |