| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,480.09 | $18,136.50 | $36,848.60 | |
Cigna
| Facility | $27,722.60 | $27,722.60 | $29,454.75 | |
Premera BCBS
| Facility | $7,500.00 | $10,713.95 | $16,968.78 | |
Providence
| Facility | $7,500.00 | $10,755.94 | $29,454.75 |