| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $5,888.44 | $14,125.38 | |
Aetna
| Professional | $95.50 | $165.96 | $478.63 | |
Cigna
| Professional | $251.19 | $398.11 | $707.95 | |
Moda Health
| Facility | $144.54 | $537.03 | $1,071.52 | |
Moda Health
| Professional | $218.78 | $426.58 | $776.25 | |
Premera BCBS
| Professional | $354.81 | $562.34 | $912.01 | |
Providence
| Facility | $91.20 | $213.80 | $851.14 | |
Providence
| Professional | $60.26 | $204.17 | $398.11 | |
United
| Professional | $154.88 | $416.87 | $954.99 |