| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,726.70 | $18,242.59 | $29,837.50 | |
Cigna
| Facility | $31,367.99 | $31,367.99 | $33,327.90 | |
Premera BCBS
| Facility | $7,500.00 | $12,122.78 | $19,142.32 | |
Providence
| Facility | $7,500.00 | $12,133.66 | $33,327.90 |