| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,492.46 | $18,160.20 | $36,896.69 | |
Cigna
| Facility | $27,758.82 | $27,758.82 | $29,493.23 | |
Premera BCBS
| Facility | $7,500.00 | $10,727.95 | $17,027.66 | |
Providence
| Facility | $7,500.00 | $10,793.26 | $29,493.23 |