| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,626.88 | $9,146.54 | $11,709.00 | |
Aetna
| Professional | $541.22 | $1,125.52 | $3,459.10 | |
Cigna
| Professional | $1,450.63 | $2,047.50 | $2,558.26 | |
Moda Health
| Facility | $563.57 | $2,882.59 | $4,035.63 | |
Moda Health
| Professional | $1,469.35 | $1,763.22 | $3,579.49 | |
Premera BCBS
| Professional | $2,222.50 | $3,087.00 | $3,608.00 | |
Providence
| Facility | $563.57 | $2,882.59 | $4,035.63 | |
Providence
| Professional | $881.87 | $2,950.20 | $3,916.00 | |
United
| Professional | $1,621.14 | $2,866.50 | $3,603.60 |