| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,839.20 | $18,823.59 | $38,244.40 | |
Cigna
| Facility | $28,772.76 | $28,772.76 | $30,570.53 | |
Premera BCBS
| Facility | $7,500.00 | $11,119.80 | $16,605.71 | |
Providence
| Facility | $7,500.00 | $10,525.79 | $30,570.53 |