| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $13,413.92 | |
Aetna
| Professional | $131.43 | $286.93 | $711.54 | |
Cigna
| Professional | $364.82 | $501.43 | $594.39 | |
Moda Health
| Facility | $132.08 | $711.54 | $996.16 | |
Moda Health
| Professional | $339.65 | $407.58 | $827.40 | |
Premera BCBS
| Professional | $525.00 | $724.12 | $919.80 | |
Providence
| Facility | $132.08 | $711.54 | $996.16 | |
Providence
| Professional | $218.32 | $683.10 | $1,000.83 | |
United
| Professional | $401.14 | $702.00 | $882.51 |