| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,165.20 | $36,665.30 | $74,494.00 | |
Cigna
| Facility | $56,044.72 | $56,044.72 | $59,546.48 | |
Premera BCBS
| Facility | $7,500.00 | $21,659.60 | $31,607.03 | |
Providence
| Facility | $7,500.00 | $20,034.62 | $59,546.48 |