| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578.01 | $7,340.00 | $13,413.92 | |
Aetna
| Professional | $669.70 | $722.35 | $975.22 | |
Cigna
| Professional | $239.21 | $369.43 | $668.70 | |
Moda Health
| Facility | $669.70 | $957.67 | $1,365.31 | |
Moda Health
| Professional | $325.89 | $391.08 | $592.91 | |
Premera BCBS
| Professional | $324.00 | $584.35 | $885.95 | |
Providence
| Facility | $669.70 | $957.67 | $1,365.31 | |
Providence
| Professional | $247.38 | $522.60 | $956.76 | |
United
| Professional | $265.83 | $534.96 | $807.04 |