| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $5,888.44 | $14,125.38 | |
Aetna
| Professional | $79.43 | $131.83 | $389.05 | |
Cigna
| Professional | $263.03 | $263.03 | $407.38 | |
Moda Health
| Facility | $74.13 | $120.23 | $616.60 | |
Moda Health
| Professional | $165.96 | $275.42 | $416.87 | |
Premera BCBS
| Professional | $208.93 | $354.81 | $562.34 | |
Providence
| Facility | $72.44 | $125.89 | $616.60 | |
Providence
| Professional | $60.26 | $158.49 | $407.38 | |
United
| Professional | $107.15 | $218.78 | $323.59 |