| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,430.20 | $42,911.80 | $87,185.10 | |
Cigna
| Facility | $65,592.73 | $65,592.73 | $69,691.05 | |
Premera BCBS
| Facility | $7,500.00 | $25,349.61 | $40,816.33 | |
Providence
| Facility | $7,500.00 | $25,872.09 | $69,691.05 |