| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,385.15 | $17,954.90 | $36,479.60 | |
Cigna
| Facility | $27,444.98 | $27,444.98 | $29,159.78 | |
Premera BCBS
| Facility | $7,500.00 | $10,606.66 | $16,745.54 | |
Providence
| Facility | $7,500.00 | $10,614.43 | $29,159.78 |