| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $726.16 | $1,206.35 | $2,049.64 | |
Aetna
| Professional | $585.61 | $585.61 | $585.61 | |
Cigna
| Facility | $482.93 | $482.93 | $482.93 | |
Moda Health
| Facility | $837.42 | $837.42 | $837.42 | |
Moda Health
| Professional | $157.33 | $174.81 | $562.89 | |
Premera BCBS
| Facility | $611.84 | $646.79 | $699.24 | |
Premera BCBS
| Professional | $157.33 | $393.32 | $393.32 | |
Providence
| Facility | $482.93 | $646.79 | $837.42 | |
Providence
| Professional | $157.33 | $480.73 | $480.73 | |
United
| Professional | $174.81 | $349.62 | $527.44 |