| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $428.22 | $428.22 | $432.82 | |
Aetna
| Professional | $125.47 | $161.44 | $353.92 | |
Cigna
| Professional | $354.47 | $404.72 | $553.70 | |
Moda Health
| Facility | $154.34 | $350.16 | $535.74 | |
Moda Health
| Professional | $384.13 | $460.95 | $710.33 | |
Premera BCBS
| Professional | $220.27 | $593.75 | $802.26 | |
Providence
| Facility | $151.01 | $350.16 | $535.74 | |
Providence
| Professional | $213.75 | $408.43 | $796.25 | |
United
| Professional | $400.37 | $442.96 | $885.92 |