| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,471.83 | $18,120.80 | $36,816.50 | |
Cigna
| Facility | $27,698.46 | $27,698.46 | $29,429.10 | |
Premera BCBS
| Facility | $7,500.00 | $10,704.62 | $16,868.20 | |
Providence
| Facility | $7,500.00 | $10,692.18 | $29,429.10 |