| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $884.91 | $4,126.18 | $7,010.50 | |
Aetna
| Professional | $884.91 | $2,003.00 | $2,003.00 | |
Cigna
| Facility | $1,651.72 | $1,651.72 | $1,651.72 | |
Cigna
| Professional | $686.82 | $686.82 | $858.52 | |
Moda Health
| Facility | $358.74 | $358.74 | $358.74 | |
Moda Health
| Professional | $597.91 | $597.91 | $1,925.27 | |
Premera BCBS
| Facility | $2,092.69 | $2,212.27 | $2,391.64 | |
Premera BCBS
| Professional | $538.12 | $903.15 | $2,391.64 | |
Providence
| Facility | $358.74 | $358.74 | $358.74 | |
Providence
| Professional | $572.00 | $597.91 | $1,644.25 | |
United
| Professional | $270.95 | $1,195.82 | $1,804.02 |