| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,500.00 | $31,566.50 | $64,134.70 | |
Cigna
| Facility | $48,251.01 | $48,251.01 | $51,265.80 | |
Premera BCBS
| Facility | $7,500.00 | $18,647.56 | $28,344.27 | |
Providence
| Facility | $7,500.00 | $17,966.47 | $51,265.80 |