| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,648.80 | $50,982.40 | $103,582.00 | |
Cigna
| Facility | $77,929.08 | $77,929.08 | $82,798.20 | |
Premera BCBS
| Facility | $7,500.00 | $30,117.24 | $48,700.93 | |
Providence
| Facility | $7,500.00 | $30,869.86 | $82,798.20 |