| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,695.81 | $16,636.09 | $33,800.10 | |
Cigna
| Facility | $25,429.15 | $25,429.15 | $27,018.00 | |
Premera BCBS
| Facility | $7,500.00 | $9,827.60 | $16,176.40 | |
Providence
| Facility | $7,500.00 | $10,253.67 | $27,018.00 |