| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50,538.90 | $96,687.00 | $196,442.00 | |
Cigna
| Facility | $147,790.85 | $147,790.85 | $157,025.03 | |
Premera BCBS
| Facility | $7,500.00 | $57,116.70 | $94,715.60 | |
Providence
| Facility | $7,500.00 | $60,037.00 | $157,025.03 |