| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,657.58 | $18,476.09 | $37,538.50 | |
Cigna
| Facility | $28,241.65 | $28,241.65 | $30,006.23 | |
Premera BCBS
| Facility | $7,500.00 | $10,914.55 | $17,135.59 | |
Providence
| Facility | $7,500.00 | $10,861.68 | $30,006.23 |