| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,324.32 | $15,925.40 | $32,356.20 | |
Cigna
| Facility | $24,342.78 | $24,342.78 | $25,863.75 | |
Premera BCBS
| Facility | $7,500.00 | $9,407.75 | $14,706.93 | |
Providence
| Facility | $7,033.46 | $9,322.23 | $25,863.75 |