| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,803.43 | $18,755.09 | $38,105.40 | |
Cigna
| Facility | $28,668.15 | $28,668.15 | $30,459.38 | |
Premera BCBS
| Facility | $7,500.00 | $11,079.38 | $17,084.08 | |
Providence
| Facility | $7,500.00 | $10,829.02 | $30,459.38 |