| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,940.50 | $24,756.80 | $50,299.10 | |
Cigna
| Facility | $37,841.96 | $37,841.96 | $40,206.37 | |
Premera BCBS
| Facility | $7,500.00 | $14,624.78 | $22,385.45 | |
Providence
| Facility | $7,500.00 | $14,189.38 | $40,206.37 |