| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,782.00 | $13,413.92 | |
Aetna
| Professional | $127.95 | $141.63 | $688.22 | |
Cigna
| Professional | $124.85 | $200.10 | $442.84 | |
Moda Health
| Facility | $129.72 | $688.22 | $963.51 | |
Moda Health
| Professional | $314.58 | $475.89 | $877.36 | |
Premera BCBS
| Professional | $346.71 | $609.60 | $959.86 | |
Providence
| Facility | $129.72 | $688.22 | $963.51 | |
Providence
| Professional | $153.65 | $462.00 | $840.71 | |
United
| Professional | $300.33 | $354.28 | $1,062.83 |