| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,723.33 | $16,688.80 | $33,907.10 | |
Cigna
| Facility | $25,509.62 | $25,509.62 | $27,103.50 | |
Premera BCBS
| Facility | $7,500.00 | $9,858.70 | $17,280.34 | |
Providence
| Facility | $7,500.00 | $10,953.42 | $27,103.50 |