| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,422.70 | $29,505.50 | $59,947.10 | |
Cigna
| Facility | $45,100.53 | $45,100.53 | $47,918.48 | |
Premera BCBS
| Facility | $7,500.00 | $17,430.00 | $28,442.40 | |
Providence
| Facility | $7,500.00 | $18,028.66 | $47,918.48 |