| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $416.87 | $416.87 | $416.87 |
Aetna
| Professional | $165.96 | $208.93 | $371.54 | |
Cigna
| Professional | $446.68 | $512.86 | $660.69 | |
Moda Health
| Professional | $204.17 | $588.84 | $1,000.00 | |
Premera BCBS
| Professional | $380.19 | $758.58 | $977.24 | |
Providence
| Professional | $213.80 | $467.74 | $660.69 | |
United
| Professional | $107.15 | $537.03 | $1,148.15 |