| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,833.41 | $16,899.40 | $34,335.00 | |
Cigna
| Facility | $25,831.51 | $25,831.51 | $27,445.50 | |
Premera BCBS
| Facility | $7,500.00 | $9,983.10 | $15,877.11 | |
Providence
| Facility | $7,500.00 | $10,063.95 | $27,445.50 |