| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $1,905.46 | $3,019.95 | |
Aetna
| Professional | $199.53 | $234.42 | $831.76 | |
Cigna
| Facility | $676.08 | $676.08 | $676.08 | |
Cigna
| Professional | $281.84 | $281.84 | $354.81 | |
Moda Health
| Facility | $181.97 | $245.47 | $1,122.02 | |
Moda Health
| Professional | $245.47 | $741.31 | $831.76 | |
Premera BCBS
| Facility | $870.96 | $912.01 | $977.24 | |
Premera BCBS
| Professional | $371.54 | $549.54 | $549.54 | |
Providence
| Facility | $162.18 | $204.17 | $457.09 | |
Providence
| Professional | $234.42 | $234.42 | $245.47 | |
United
| Professional | $112.20 | $489.78 | $741.31 |