| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.76 | $1,318.97 | $9,577.00 | |
Aetna
| Professional | $48.23 | $125.63 | $427.58 | |
Aetna
| Professional | 50 | $195.99 | $195.99 | $195.99 |
Cigna
| Professional | $135.87 | $213.69 | $385.39 | |
Moda Health
| Facility | $65.73 | $291.95 | $598.61 | |
Moda Health
| Professional | $126.15 | $262.02 | $526.50 | |
Premera BCBS
| Professional | $195.00 | $306.00 | $478.80 | |
Providence
| Facility | $65.73 | $291.95 | $598.61 | |
Providence
| Professional | $114.75 | $290.70 | $462.00 | |
United
| Professional | $217.62 | $380.84 | $478.76 |