| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,450.80 | $33,385.50 | $67,830.30 | |
Cigna
| Facility | $51,031.32 | $51,031.32 | $54,219.83 | |
Premera BCBS
| Facility | $7,500.00 | $19,722.07 | $31,521.17 | |
Providence
| Facility | $7,500.00 | $19,980.20 | $54,219.83 |