| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $1,000.00 | $5,888.44 | |
Aetna
| Professional | $102.33 | $263.03 | $645.65 | |
Cigna
| Professional | $275.42 | $457.09 | $1,148.15 | |
Moda Health
| Facility | $263.03 | $1,000.00 | $1,905.46 | |
Moda Health
| Professional | $239.88 | $501.19 | $1,288.25 | |
Premera BCBS
| Professional | $436.52 | $616.60 | $1,412.54 | |
Providence
| Facility | $97.72 | $354.81 | $1,288.25 | |
Providence
| Professional | $60.26 | $239.88 | $630.96 | |
United
| Professional | $245.47 | $616.60 | $1,445.44 |