| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,015.60 | $21,074.20 | $42,817.10 | |
Cigna
| Facility | $32,212.94 | $32,212.94 | $34,225.65 | |
Premera BCBS
| Facility | $7,500.00 | $12,449.33 | $18,381.83 | |
Providence
| Facility | $7,500.00 | $11,651.62 | $34,225.65 |