| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.30 | $96.56 | $11,709.00 | |
Aetna
| Professional | $3.77 | $11.17 | $86.46 | |
Aetna
| Professional | 52 | $5.32 | $5.65 | $15.32 |
Cigna
| Professional | $4.09 | $7.43 | $18.53 | |
Moda Health
| Facility | $10.64 | $15.22 | $42.88 | |
Moda Health
| Professional | $4.84 | $7.60 | $19.41 | |
Premera BCBS
| Professional | $5.60 | $12.80 | $29.00 | |
Providence
| Facility | $10.64 | $15.22 | $42.88 | |
Providence
| Professional | $4.37 | $12.40 | $25.50 | |
United
| Professional | $6.46 | $14.82 | $22.36 |