| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34,894.69 | $66,757.80 | $135,634.00 | |
Cigna
| Facility | $102,042.52 | $102,042.52 | $108,418.28 | |
Premera BCBS
| Facility | $7,500.00 | $39,436.35 | $58,901.33 | |
Providence
| Facility | $7,500.00 | $37,335.55 | $108,418.28 |