| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,374.14 | $17,933.90 | $36,436.80 | |
Cigna
| Facility | $27,412.79 | $27,412.79 | $29,125.58 | |
Premera BCBS
| Facility | $7,500.00 | $10,594.22 | $16,443.80 | |
Providence
| Facility | $7,500.00 | $10,423.17 | $29,125.58 |