| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,873.90 | $20,803.09 | $42,266.20 | |
Cigna
| Facility | $31,798.51 | $31,798.51 | $33,785.33 | |
Premera BCBS
| Facility | $7,500.00 | $12,289.17 | $17,766.07 | |
Providence
| Facility | $7,500.00 | $11,261.31 | $33,785.33 |