| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,908.10 | $28,521.00 | $57,946.90 | |
Cigna
| Facility | $43,595.71 | $43,595.71 | $46,319.63 | |
Premera BCBS
| Facility | $7,500.00 | $16,848.43 | $26,717.80 | |
Providence
| Facility | $7,500.00 | $16,935.50 | $46,319.63 |