| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $586.75 | $6,541.00 | $13,413.92 | |
Aetna
| Professional | $146.31 | $674.46 | $989.98 | |
Cigna
| Professional | $248.45 | $358.11 | $660.87 | |
Moda Health
| Facility | $674.46 | $964.48 | $1,385.97 | |
Moda Health
| Professional | $334.78 | $401.73 | $610.38 | |
Premera BCBS
| Professional | $332.80 | $600.29 | $891.00 | |
Providence
| Facility | $674.46 | $964.48 | $1,385.97 | |
Providence
| Professional | $248.45 | $534.60 | $987.70 | |
United
| Professional | $224.96 | $528.70 | $797.60 |