| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,687.10 | $22,358.80 | $45,427.00 | |
Cigna
| Facility | $34,176.46 | $34,176.46 | $36,311.85 | |
Premera BCBS
| Facility | $7,500.00 | $13,208.17 | $20,089.25 | |
Providence
| Facility | $7,500.00 | $12,733.89 | $36,311.85 |