| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.72 | $361.72 | $367.08 | |
Aetna
| Professional | $106.68 | $139.22 | $295.79 | |
Cigna
| Professional | $299.04 | $344.22 | $469.11 | |
Moda Health
| Facility | $130.19 | $295.79 | $452.56 | |
Moda Health
| Professional | $321.05 | $385.26 | $592.83 | |
Premera BCBS
| Professional | $184.63 | $487.62 | $687.15 | |
Providence
| Facility | $127.99 | $295.79 | $452.56 | |
Providence
| Professional | $180.98 | $342.39 | $677.25 | |
United
| Professional | $341.09 | $375.28 | $810.18 |