| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.57 | $973.99 | $3,139.04 | |
Aetna
| Professional | $682.40 | $682.40 | $682.40 | |
Cigna
| Professional | $736.95 | $736.95 | $736.95 | |
Moda Health
| Facility | $975.83 | $975.83 | $975.83 | |
Moda Health
| Professional | $247.71 | $247.71 | $353.88 | |
Premera BCBS
| Professional | $836.25 | $931.25 | $2,272.25 | |
Providence
| Facility | $934.89 | $934.89 | $975.83 | |
Providence
| Professional | $353.88 | $1,096.50 | $2,272.25 | |
United
| Professional | $248.85 | $884.34 | $3,373.58 |