| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,902.50 | $18,944.70 | $38,490.40 | |
Cigna
| Facility | $28,957.85 | $28,957.85 | $30,767.18 | |
Premera BCBS
| Facility | $7,500.00 | $11,191.34 | $17,498.68 | |
Providence
| Facility | $7,500.00 | $11,091.82 | $30,767.18 |