| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,854.34 | $18,852.50 | $38,303.30 | |
Cigna
| Facility | $28,817.02 | $28,817.02 | $30,617.55 | |
Premera BCBS
| Facility | $7,500.00 | $11,136.91 | $17,182.21 | |
Providence
| Facility | $7,500.00 | $10,891.22 | $30,617.55 |