| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $5,888.44 | $14,125.38 | |
Aetna
| Professional | $112.20 | $190.55 | $602.56 | |
Cigna
| Professional | $416.87 | $416.87 | $602.56 | |
Moda Health
| Facility | $107.15 | $173.78 | $912.01 | |
Moda Health
| Professional | $229.09 | $398.11 | $602.56 | |
Premera BCBS
| Professional | $302.00 | $512.86 | $812.83 | |
Providence
| Facility | $100.00 | $181.97 | $912.01 | |
Providence
| Professional | $60.26 | $229.09 | $588.84 | |
United
| Professional | $223.87 | $457.09 | $616.60 |