| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $5,888.44 | $14,125.38 | |
Aetna
| Professional | $117.49 | $186.21 | $588.84 | |
Cigna
| Professional | $407.38 | $407.38 | $588.84 | |
Moda Health
| Facility | $107.15 | $169.82 | $891.25 | |
Moda Health
| Professional | $229.09 | $389.05 | $588.84 | |
Premera BCBS
| Professional | $302.00 | $512.86 | $794.33 | |
Providence
| Facility | $100.00 | $177.83 | $891.25 | |
Providence
| Professional | $60.26 | $229.09 | $575.44 | |
United
| Professional | $218.78 | $446.68 | $602.56 |