| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,906.30 | $43,822.50 | $89,035.60 | |
Cigna
| Facility | $66,984.89 | $66,984.89 | $71,170.20 | |
Premera BCBS
| Facility | $7,500.00 | $25,887.64 | $42,653.79 | |
Providence
| Facility | $7,500.00 | $27,036.79 | $71,170.20 |