| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $5,888.44 | $14,125.38 | |
Aetna
| Professional | $61.66 | $147.91 | $338.84 | |
Cigna
| Professional | $75.86 | $158.49 | $457.09 | |
Moda Health
| Facility | $77.62 | $169.82 | $416.87 | |
Moda Health
| Professional | $165.96 | $426.58 | $933.25 | |
Premera BCBS
| Professional | $194.98 | $371.54 | $741.31 | |
Providence
| Facility | $91.20 | $169.82 | $426.58 | |
Providence
| Professional | $61.66 | $173.78 | $457.09 | |
United
| Professional | $66.07 | $173.78 | $562.34 |