| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,787.71 | $14,898.80 | $30,270.40 | |
Cigna
| Facility | $22,773.58 | $22,773.58 | $24,196.50 | |
Premera BCBS
| Facility | $7,500.00 | $8,801.29 | $13,468.07 | |
Providence
| Facility | $6,503.08 | $8,536.95 | $24,196.50 |