| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,549.00 | $27,833.90 | $56,551.10 | |
Cigna
| Facility | $42,545.55 | $42,545.55 | $45,203.85 | |
Premera BCBS
| Facility | $7,500.00 | $16,442.57 | $23,050.27 | |
Providence
| Facility | $7,500.00 | $14,610.78 | $45,203.85 |