| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,264.90 | $50,248.00 | $102,090.00 | |
Cigna
| Facility | $76,806.50 | $76,806.50 | $81,605.48 | |
Premera BCBS
| Facility | $7,500.00 | $29,683.40 | $40,274.18 | |
Providence
| Facility | $7,500.00 | $25,528.43 | $81,605.48 |