| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149,619.00 | $286,239.00 | $581,560.00 | |
Cigna
| Facility | $437,530.29 | $437,530.29 | $464,867.78 | |
Premera BCBS
| Facility | $7,500.00 | $169,092.26 | $267,229.53 | |
Providence
| Facility | $7,500.00 | $169,387.71 | $464,867.78 |