| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,636.65 | $16,522.90 | $33,570.19 | |
Cigna
| Facility | $25,256.14 | $25,256.14 | $26,834.18 | |
Premera BCBS
| Facility | $7,500.00 | $9,760.74 | $14,378.21 | |
Providence
| Facility | $6,892.72 | $9,113.86 | $26,834.18 |