| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,910.75 | $18,960.50 | $38,522.50 | |
Cigna
| Facility | $28,981.99 | $28,981.99 | $30,792.83 | |
Premera BCBS
| Facility | $7,500.00 | $11,200.67 | $16,473.24 | |
Providence
| Facility | $7,500.00 | $10,441.82 | $30,792.83 |