| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,868.10 | $18,878.90 | $38,356.69 | |
Cigna
| Facility | $28,857.26 | $28,857.26 | $30,660.30 | |
Premera BCBS
| Facility | $7,500.00 | $11,152.46 | $18,008.93 | |
Providence
| Facility | $7,500.00 | $11,415.26 | $30,660.30 |