| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,627.31 | $18,418.20 | $37,420.80 | |
Cigna
| Facility | $28,153.13 | $28,153.13 | $29,912.18 | |
Premera BCBS
| Facility | $7,500.00 | $10,880.34 | $17,236.18 | |
Providence
| Facility | $7,500.00 | $10,925.43 | $29,912.18 |