| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,508.98 | $18,191.80 | $36,960.90 | |
Cigna
| Facility | $27,807.10 | $27,807.10 | $29,544.53 | |
Premera BCBS
| Facility | $7,500.00 | $10,746.61 | $16,495.32 | |
Providence
| Facility | $7,500.00 | $10,455.82 | $29,544.53 |