| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,647.66 | $23,400.90 | $33,613.00 | |
Cigna
| Facility | $25,288.33 | $25,288.33 | $26,868.38 | |
Premera BCBS
| Facility | $7,500.00 | $9,773.18 | $15,278.53 | |
Providence
| Facility | $7,278.18 | $9,684.54 | $26,868.38 |