| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,082.85 | $6,541.00 | $13,413.92 | |
Aetna
| Professional | $162.71 | $388.08 | $1,827.01 | |
Cigna
| Professional | $320.95 | $612.39 | $1,183.32 | |
Moda Health
| Facility | $877.61 | $1,254.98 | $2,557.81 | |
Moda Health
| Professional | $421.33 | $510.63 | $1,147.02 | |
Premera BCBS
| Professional | $432.00 | $811.30 | $1,652.44 | |
Providence
| Facility | $877.61 | $1,254.98 | $2,557.81 | |
Providence
| Professional | $356.30 | $771.00 | $1,620.00 | |
United
| Professional | $410.40 | $946.66 | $1,428.14 |