| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,218.66 | $17,636.40 | $35,832.40 | |
Cigna
| Facility | $26,958.12 | $26,958.12 | $28,642.50 | |
Premera BCBS
| Facility | $7,500.00 | $10,418.50 | $17,081.63 | |
Providence
| Facility | $7,500.00 | $10,827.47 | $28,642.50 |