| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,138.10 | $18,942.30 | $30,981.90 | |
Cigna
| Facility | $32,571.04 | $32,571.04 | $34,606.12 | |
Premera BCBS
| Facility | $7,500.00 | $12,587.73 | $19,689.38 | |
Providence
| Facility | $7,500.00 | $12,480.43 | $34,606.12 |