| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $464.31 | $6,541.00 | $13,413.92 | |
Aetna
| Professional | $91.69 | $491.63 | $767.01 | |
Cigna
| Professional | $252.44 | $402.16 | $713.33 | |
Moda Health
| Facility | $122.29 | $540.79 | $1,073.81 | |
Moda Health
| Professional | $239.38 | $461.91 | $928.20 | |
Premera BCBS
| Professional | $356.25 | $585.00 | $929.22 | |
Providence
| Facility | $122.29 | $540.79 | $1,073.81 | |
Providence
| Professional | $222.30 | $558.60 | $946.00 | |
United
| Professional | $420.54 | $634.42 | $956.73 |