| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,285.00 | $10,900.00 | $14,552.94 | |
Aetna
| Professional | $984.67 | $984.67 | $984.67 | |
Cigna
| Professional | $676.44 | $676.44 | $676.44 | |
Moda Health
| Facility | $336.06 | $984.67 | $1,408.08 | |
Moda Health
| Professional | $197.84 | $197.84 | $282.63 | |
Premera BCBS
| Professional | $830.00 | $962.80 | $1,309.00 | |
Providence
| Facility | $336.06 | $984.67 | $1,408.08 | |
Providence
| Professional | $197.84 | $895.50 | $1,326.85 | |
United
| Professional | $646.86 | $648.48 | $1,487.78 |