| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59,066.90 | $113,002.00 | $229,590.00 | |
Cigna
| Facility | $172,729.12 | $172,729.12 | $183,521.48 | |
Premera BCBS
| Facility | $7,500.00 | $66,754.60 | $110,011.30 | |
Providence
| Facility | $7,500.00 | $69,732.42 | $183,521.48 |