| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,246.18 | $17,689.09 | $35,939.40 | |
Cigna
| Facility | $27,038.59 | $27,038.59 | $28,728.00 | |
Premera BCBS
| Facility | $7,500.00 | $10,449.60 | $14,888.47 | |
Providence
| Facility | $7,111.19 | $9,437.29 | $28,728.00 |