| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $5,888.44 | $14,125.38 | |
Aetna
| Professional | $114.82 | $177.83 | $575.44 | |
Cigna
| Professional | $398.11 | $398.11 | $562.34 | |
Moda Health
| Facility | $102.33 | $165.96 | $851.14 | |
Moda Health
| Professional | $223.87 | $389.05 | $562.34 | |
Premera BCBS
| Professional | $288.40 | $501.19 | $758.58 | |
Providence
| Facility | $97.72 | $169.82 | $851.14 | |
Providence
| Professional | $60.26 | $223.87 | $549.54 | |
United
| Professional | $208.93 | $446.68 | $588.84 |