| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $283.20 | $294.43 | $441.66 | |
Cigna
| Professional | $323.87 | $323.87 | $323.87 | |
Moda Health
| Facility | $631.57 | $631.57 | $631.57 | |
Moda Health
| Professional | $99.09 | $141.55 | $289.17 | |
Premera BCBS
| Facility | $466.47 | $466.47 | $733.02 | |
Providence
| Facility | $453.01 | $631.57 | $1,067.81 | |
Providence
| Professional | $99.09 | $141.55 | $323.87 | |
United
| Professional | $289.17 | $289.17 | $346.40 |