| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,215.70 | $25,283.20 | $51,368.70 | |
Cigna
| Facility | $38,646.68 | $38,646.68 | $41,061.37 | |
Premera BCBS
| Facility | $7,500.00 | $14,935.78 | $23,425.61 | |
Providence
| Facility | $7,500.00 | $14,848.70 | $41,061.37 |