| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,470.30 | $25,770.20 | $52,358.10 | |
Cigna
| Facility | $39,391.04 | $39,391.04 | $41,852.25 | |
Premera BCBS
| Facility | $7,500.00 | $15,223.45 | $25,005.47 | |
Providence
| Facility | $7,500.00 | $15,850.12 | $41,852.25 |