| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,111.90 | $21,258.50 | $43,191.40 | |
Cigna
| Facility | $32,494.59 | $32,494.59 | $34,524.90 | |
Premera BCBS
| Facility | $7,500.00 | $12,558.18 | $19,893.00 | |
Providence
| Facility | $7,500.00 | $12,609.49 | $34,524.90 |