| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,262.69 | $17,720.59 | $36,003.60 | |
Cigna
| Facility | $27,086.88 | $27,086.88 | $28,779.30 | |
Premera BCBS
| Facility | $7,500.00 | $10,468.26 | $16,495.32 | |
Providence
| Facility | $7,500.00 | $10,455.82 | $28,779.30 |