| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $5,888.44 | $14,125.38 | |
Aetna
| Professional | $154.88 | $234.42 | $831.76 | |
Cigna
| Professional | $588.84 | $588.84 | $776.25 | |
Moda Health
| Facility | $147.91 | $229.09 | $1,202.26 | |
Moda Health
| Professional | $316.23 | $537.03 | $758.58 | |
Premera BCBS
| Professional | $416.87 | $691.83 | $1,023.29 | |
Providence
| Facility | $138.04 | $239.88 | $1,202.26 | |
Providence
| Professional | $60.26 | $323.59 | $741.31 | |
United
| Professional | $295.12 | $616.60 | $794.33 |