| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,951.80 | $26,691.50 | $54,230.00 | |
Cigna
| Facility | $40,799.30 | $40,799.30 | $43,348.50 | |
Premera BCBS
| Facility | $7,500.00 | $15,767.70 | $24,926.97 | |
Providence
| Facility | $7,500.00 | $15,800.36 | $43,348.50 |