| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,167.75 | $17,539.00 | $35,634.60 | |
Cigna
| Facility | $26,809.25 | $26,809.25 | $28,484.33 | |
Premera BCBS
| Facility | $7,500.00 | $10,360.96 | $16,289.25 | |
Providence
| Facility | $7,500.00 | $10,325.20 | $28,484.33 |