| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.69 | $193.17 | $245.03 | |
Cigna
| Professional | $309.47 | $309.47 | $352.84 | |
Moda Health
| Facility | $70.62 | $70.62 | $75.31 | |
Moda Health
| Professional | $236.52 | $265.98 | $307.00 | |
Premera BCBS
| Facility | $135.44 | $135.44 | $205.00 | |
Premera BCBS
| Professional | $175.00 | $248.46 | $487.50 | |
Providence
| Facility | $70.62 | $75.31 | $75.31 | |
Providence
| Professional | $175.00 | $275.27 | $487.50 | |
United
| Professional | $282.27 | $282.27 | $317.57 |