| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108,268.00 | $207,130.00 | $420,833.00 | |
Cigna
| Facility | $316,609.03 | $316,609.03 | $336,391.20 | |
Premera BCBS
| Facility | $7,500.00 | $122,359.84 | $197,740.19 | |
Providence
| Facility | $7,500.00 | $125,340.78 | $336,391.20 |