| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,416.79 | $18,015.50 | $36,602.60 | |
Cigna
| Facility | $27,537.52 | $27,537.52 | $29,258.10 | |
Premera BCBS
| Facility | $7,500.00 | $10,642.42 | $16,885.38 | |
Providence
| Facility | $7,500.00 | $10,703.07 | $29,258.10 |