| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,326.60 | $21,669.10 | $44,025.80 | |
Cigna
| Facility | $33,122.28 | $33,122.28 | $35,191.80 | |
Premera BCBS
| Facility | $7,500.00 | $12,800.76 | $21,028.83 | |
Providence
| Facility | $7,500.00 | $13,329.46 | $35,191.80 |