| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,549.96 | $16,357.10 | $33,233.19 | |
Cigna
| Facility | $25,002.65 | $25,002.65 | $26,564.85 | |
Premera BCBS
| Facility | $7,500.00 | $9,662.77 | $15,089.63 | |
Providence
| Facility | $7,197.31 | $9,564.81 | $26,564.85 |