| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,240.39 | $15,764.80 | $32,029.90 | |
Cigna
| Facility | $24,097.34 | $24,097.34 | $25,602.98 | |
Premera BCBS
| Facility | $7,500.00 | $9,312.90 | $13,769.81 | |
Providence
| Facility | $6,632.24 | $8,728.21 | $25,602.98 |