| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,757.90 | $35,886.10 | $72,911.00 | |
Cigna
| Facility | $54,853.74 | $54,853.74 | $58,281.08 | |
Premera BCBS
| Facility | $7,500.00 | $21,199.32 | $33,613.75 | |
Providence
| Facility | $7,500.00 | $21,306.61 | $58,281.08 |