| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,214.00 | $23,366.90 | $47,475.30 | |
Cigna
| Facility | $35,717.50 | $35,717.50 | $37,949.18 | |
Premera BCBS
| Facility | $7,500.00 | $13,803.74 | $22,027.28 | |
Providence
| Facility | $7,500.00 | $13,962.35 | $37,949.18 |