| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,929.71 | $17,083.59 | $34,709.30 | |
Cigna
| Facility | $26,113.16 | $26,113.16 | $27,744.75 | |
Premera BCBS
| Facility | $7,500.00 | $10,091.95 | $15,612.16 | |
Providence
| Facility | $7,421.03 | $9,896.02 | $27,744.75 |