| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34,960.80 | $66,884.10 | $135,890.00 | |
Cigna
| Facility | $102,235.65 | $102,235.65 | $108,623.48 | |
Premera BCBS
| Facility | $7,500.00 | $39,511.00 | $63,395.59 | |
Providence
| Facility | $7,500.00 | $40,184.31 | $108,623.48 |