| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,650.12 | $14,635.60 | $29,735.60 | |
Cigna
| Facility | $22,371.22 | $22,371.22 | $23,769.00 | |
Premera BCBS
| Facility | $7,500.00 | $8,645.79 | $13,907.19 | |
Providence
| Facility | $6,691.07 | $8,815.29 | $23,769.00 |