| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,906.62 | $18,952.59 | $38,506.50 | |
Cigna
| Facility | $28,969.92 | $28,969.92 | $30,780.00 | |
Premera BCBS
| Facility | $7,500.00 | $11,196.00 | $17,498.68 | |
Providence
| Facility | $7,500.00 | $11,091.82 | $30,780.00 |