| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39,709.10 | $75,968.20 | $154,347.00 | |
Cigna
| Facility | $116,121.10 | $116,121.10 | $123,376.50 | |
Premera BCBS
| Facility | $7,500.00 | $44,877.30 | $73,252.55 | |
Providence
| Facility | $7,500.00 | $46,432.30 | $123,376.50 |