| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,978.80 | $22,916.80 | $46,560.80 | |
Cigna
| Facility | $35,029.46 | $35,029.46 | $37,218.15 | |
Premera BCBS
| Facility | $7,500.00 | $13,537.83 | $21,610.24 | |
Providence
| Facility | $7,500.00 | $13,698.00 | $37,218.15 |