| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31,311.80 | $59,903.30 | $121,707.00 | |
Cigna
| Facility | $91,565.07 | $91,565.07 | $97,286.18 | |
Premera BCBS
| Facility | $7,500.00 | $35,387.14 | $52,917.98 | |
Providence
| Facility | $7,500.00 | $33,542.91 | $97,286.18 |