| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.01 | $468.92 | $13,413.92 | |
Aetna
| Professional | $28.85 | $70.77 | $491.02 | |
Cigna
| Professional | $66.58 | $138.26 | $325.88 | |
Moda Health
| Facility | $195.49 | $279.55 | $687.43 | |
Moda Health
| Professional | $89.75 | $115.60 | $300.81 | |
Premera BCBS
| Professional | $90.40 | $224.70 | $435.00 | |
Providence
| Facility | $195.49 | $279.55 | $687.43 | |
Providence
| Professional | $80.75 | $199.02 | $448.50 | |
United
| Professional | $85.96 | $260.70 | $393.29 |