| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,649.00 | $43,330.30 | $88,035.50 | |
Cigna
| Facility | $66,232.48 | $66,232.48 | $70,370.78 | |
Premera BCBS
| Facility | $7,500.00 | $25,596.86 | $40,656.87 | |
Providence
| Facility | $7,500.00 | $25,771.02 | $70,370.78 |