| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,575.60 | $22,145.50 | $44,993.80 | |
Cigna
| Facility | $33,850.55 | $33,850.55 | $35,965.58 | |
Premera BCBS
| Facility | $7,500.00 | $13,082.22 | $22,930.06 | |
Providence
| Facility | $7,500.00 | $14,534.59 | $35,965.58 |