| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,849.62 | $15,017.30 | $30,511.00 | |
Cigna
| Facility | $22,954.64 | $22,954.64 | $24,388.88 | |
Premera BCBS
| Facility | $7,500.00 | $8,871.28 | $15,550.83 | |
Providence
| Facility | $7,394.77 | $9,857.15 | $24,388.88 |