| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $768.85 | $7,340.00 | $13,413.92 | |
Aetna
| Professional | $232.12 | $399.14 | $1,881.14 | |
Cigna
| Professional | $459.76 | $687.17 | $1,286.25 | |
Moda Health
| Facility | $1,297.22 | $1,855.02 | $2,633.60 | |
Moda Health
| Professional | $631.58 | $757.89 | $1,140.21 | |
Premera BCBS
| Professional | $622.40 | $1,132.45 | $1,703.75 | |
Providence
| Facility | $1,297.22 | $1,855.02 | $2,633.60 | |
Providence
| Professional | $475.54 | $1,004.90 | $1,839.74 | |
United
| Professional | $434.72 | $1,029.00 | $1,552.35 |