| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,099.29 | $19,321.09 | $39,255.19 | |
Cigna
| Facility | $29,533.22 | $29,533.22 | $31,378.50 | |
Premera BCBS
| Facility | $7,500.00 | $11,413.70 | $18,595.25 | |
Providence
| Facility | $7,500.00 | $11,786.90 | $31,378.50 |