| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,040.10 | $19,207.90 | $39,025.30 | |
Cigna
| Facility | $29,360.21 | $29,360.21 | $31,194.68 | |
Premera BCBS
| Facility | $7,500.00 | $11,346.84 | $17,650.77 | |
Providence
| Facility | $7,500.00 | $11,188.23 | $31,194.68 |