| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,782.00 | $13,413.92 | |
Aetna
| Professional | $107.15 | $210.14 | $637.30 | |
Cigna
| Professional | $317.79 | $411.57 | $576.59 | |
Moda Health
| Facility | $124.43 | $637.30 | $892.23 | |
Moda Health
| Professional | $325.89 | $391.08 | $793.91 | |
Premera BCBS
| Professional | $446.25 | $625.60 | $759.00 | |
Providence
| Facility | $124.43 | $637.30 | $892.23 | |
Providence
| Professional | $194.00 | $586.25 | $759.00 | |
United
| Professional | $311.12 | $496.72 | $724.37 |