| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,796.30 | $26,394.10 | $53,625.60 | |
Cigna
| Facility | $40,344.64 | $40,344.64 | $42,865.43 | |
Premera BCBS
| Facility | $7,500.00 | $15,591.98 | $26,393.98 | |
Providence
| Facility | $7,500.00 | $16,730.25 | $42,865.43 |