| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,655.70 | $24,211.90 | $49,192.00 | |
Cigna
| Facility | $37,009.07 | $37,009.07 | $39,321.44 | |
Premera BCBS
| Facility | $7,500.00 | $14,302.89 | $21,892.36 | |
Providence
| Facility | $7,500.00 | $13,876.82 | $39,321.44 |