| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43,545.10 | $83,307.00 | $169,257.00 | |
Cigna
| Facility | $127,338.89 | $127,338.89 | $135,295.20 | |
Premera BCBS
| Facility | $7,500.00 | $49,212.64 | $77,729.64 | |
Providence
| Facility | $7,500.00 | $49,270.17 | $135,295.20 |