| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,179.30 | $48,171.10 | $97,870.70 | |
Cigna
| Facility | $73,631.88 | $73,631.88 | $78,232.50 | |
Premera BCBS
| Facility | $7,500.00 | $28,456.50 | $44,844.50 | |
Providence
| Facility | $7,500.00 | $28,425.40 | $78,232.50 |