| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,965.00 | $22,890.50 | $46,507.30 | |
Cigna
| Facility | $34,989.23 | $34,989.23 | $37,175.40 | |
Premera BCBS
| Facility | $7,500.00 | $13,522.28 | $21,703.46 | |
Providence
| Facility | $7,500.00 | $13,757.09 | $37,175.40 |