| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44,559.20 | $85,247.00 | $173,199.00 | |
Cigna
| Facility | $130,304.29 | $130,304.29 | $138,445.88 | |
Premera BCBS
| Facility | $7,500.00 | $50,358.68 | $79,952.24 | |
Providence
| Facility | $7,500.00 | $50,679.01 | $138,445.88 |