| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,899.59 | $36,157.30 | $73,461.80 | |
Cigna
| Facility | $55,268.17 | $55,268.17 | $58,721.40 | |
Premera BCBS
| Facility | $7,500.00 | $21,359.48 | $34,568.04 | |
Providence
| Facility | $7,500.00 | $21,911.51 | $58,721.40 |