| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,862.40 | $26,520.40 | $53,882.40 | |
Cigna
| Facility | $40,537.76 | $40,537.76 | $43,070.63 | |
Premera BCBS
| Facility | $7,500.00 | $15,666.63 | $24,176.29 | |
Providence
| Facility | $7,500.00 | $15,324.53 | $43,070.63 |