| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,239.80 | $38,721.10 | $78,670.89 | |
Cigna
| Facility | $59,187.16 | $59,187.16 | $62,885.25 | |
Premera BCBS
| Facility | $7,500.00 | $22,874.05 | $34,815.81 | |
Providence
| Facility | $7,500.00 | $22,068.56 | $62,885.25 |