| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,261.81 | $11,979.60 | $24,339.30 | |
Cigna
| Facility | $18,311.40 | $18,311.40 | $19,455.53 | |
Premera BCBS
| Facility | $7,076.81 | $7,500.00 | $10,833.33 | |
Providence
| Facility | $5,375.02 | $7,500.00 | $19,455.53 |