| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,002.20 | $32,527.30 | $66,086.80 | |
Cigna
| Facility | $49,719.63 | $49,719.63 | $52,826.18 | |
Premera BCBS
| Facility | $7,500.00 | $19,215.14 | $33,679.98 | |
Providence
| Facility | $7,500.00 | $21,348.60 | $52,826.18 |