| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,828.80 | $22,629.90 | $45,977.80 | |
Cigna
| Facility | $34,590.89 | $34,590.89 | $36,752.18 | |
Premera BCBS
| Facility | $7,500.00 | $13,368.34 | $23,430.51 | |
Providence
| Facility | $7,500.00 | $14,851.80 | $36,752.18 |