| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $392.80 | $6,825.52 | $13,413.92 | |
Aetna
| Professional | $86.56 | $135.06 | $662.74 | |
Cigna
| Professional | $179.60 | $236.30 | $432.11 | |
Moda Health
| Facility | $499.99 | $699.99 | $927.84 | |
Moda Health
| Professional | $263.63 | $316.35 | $414.36 | |
Premera BCBS
| Professional | $260.82 | $455.75 | $596.95 | |
Providence
| Facility | $499.99 | $699.99 | $927.84 | |
Providence
| Professional | $185.73 | $384.80 | $704.48 | |
United
| Professional | $150.86 | $345.68 | $521.49 |