| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,748.39 | $18,649.80 | $37,891.50 | |
Cigna
| Facility | $28,507.21 | $28,507.21 | $30,288.38 | |
Premera BCBS
| Facility | $7,500.00 | $11,017.18 | $16,181.31 | |
Providence
| Facility | $7,500.00 | $10,256.78 | $30,288.38 |