| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $539.28 | $6,541.00 | $13,413.92 | |
Aetna
| Professional | $111.95 | $223.94 | $909.89 | |
Cigna
| Professional | $221.57 | $330.60 | $605.74 | |
Moda Health
| Facility | $600.08 | $858.11 | $1,273.84 | |
Moda Health
| Professional | $298.39 | $358.08 | $562.83 | |
Premera BCBS
| Professional | $296.80 | $535.04 | $820.50 | |
Providence
| Facility | $600.08 | $858.11 | $1,273.84 | |
Providence
| Professional | $221.57 | $492.30 | $880.60 | |
United
| Professional | $223.92 | $481.38 | $484.60 |