| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,485.01 | $14,319.70 | $29,093.80 | |
Cigna
| Facility | $21,888.38 | $21,888.38 | $23,256.00 | |
Premera BCBS
| Facility | $7,500.00 | $8,459.20 | $13,421.46 | |
Providence
| Facility | $6,483.10 | $8,507.41 | $23,256.00 |