| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,750.40 | $32,045.60 | $65,108.10 | |
Cigna
| Facility | $48,983.31 | $48,983.31 | $52,043.85 | |
Premera BCBS
| Facility | $7,500.00 | $18,930.57 | $29,318.19 | |
Providence
| Facility | $7,500.00 | $18,583.81 | $52,043.85 |