| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.43 | $6,541.00 | $13,413.92 | |
Aetna
| Professional | $100.85 | $465.62 | $702.61 | |
Cigna
| Professional | $172.04 | $261.76 | $467.53 | |
Moda Health
| Facility | $465.62 | $665.84 | $983.65 | |
Moda Health
| Professional | $236.13 | $283.35 | $438.63 | |
Premera BCBS
| Professional | $231.04 | $423.40 | $636.00 | |
Providence
| Facility | $465.62 | $665.84 | $983.65 | |
Providence
| Professional | $172.04 | $373.10 | $683.06 | |
United
| Professional | $160.36 | $374.02 | $564.25 |