| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,789.08 | $14,901.50 | $30,275.70 | |
Cigna
| Facility | $22,777.60 | $22,777.60 | $24,200.78 | |
Premera BCBS
| Facility | $7,500.00 | $8,802.86 | $13,725.65 | |
Providence
| Facility | $6,613.34 | $8,700.23 | $24,200.78 |