| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.48 | $4,806.00 | $11,709.00 | |
Aetna
| Professional | $11.59 | $55.40 | $152.60 | |
Cigna
| Professional | $19.14 | $48.44 | $146.90 | |
Moda Health
| Facility | $55.40 | $79.22 | $131.04 | |
Moda Health
| Professional | $58.23 | $72.00 | $134.00 | |
Premera BCBS
| Professional | $40.15 | $97.20 | $187.33 | |
Providence
| Facility | $55.40 | $79.22 | $131.04 | |
Providence
| Professional | $28.80 | $72.05 | $146.90 | |
United
| Professional | $47.28 | $117.52 | $176.28 |