| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,673.79 | $16,594.00 | $33,714.60 | |
Cigna
| Facility | $25,364.77 | $25,364.77 | $26,949.60 | |
Premera BCBS
| Facility | $7,500.00 | $9,802.71 | $15,617.07 | |
Providence
| Facility | $7,423.13 | $9,899.12 | $26,949.60 |