| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $5,888.44 | $14,125.38 | |
Aetna
| Professional | $128.82 | $218.78 | $794.33 | |
Cigna
| Professional | $562.34 | $562.34 | $602.56 | |
Moda Health
| Facility | $138.04 | $181.97 | $1,148.15 | |
Moda Health
| Professional | $371.54 | $467.74 | $602.56 | |
Premera BCBS
| Professional | $380.19 | $660.69 | $776.25 | |
Providence
| Facility | $138.04 | $218.78 | $1,148.15 | |
Providence
| Professional | $60.26 | $257.04 | $562.34 | |
United
| Professional | $245.47 | $446.68 | $676.08 |