| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,130.61 | $17,467.90 | $35,490.19 | |
Cigna
| Facility | $26,700.61 | $26,700.61 | $28,368.90 | |
Premera BCBS
| Facility | $7,500.00 | $10,318.98 | $15,698.03 | |
Providence
| Facility | $7,457.80 | $9,950.45 | $28,368.90 |