| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,006.10 | $30,621.50 | $62,214.70 | |
Cigna
| Facility | $46,806.54 | $46,806.54 | $49,731.08 | |
Premera BCBS
| Facility | $7,500.00 | $18,089.32 | $28,533.17 | |
Providence
| Facility | $7,500.00 | $18,086.21 | $49,731.08 |