| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $236.19 | $236.19 | $273.70 | |
Aetna
| Professional | $74.06 | $95.87 | $166.69 | |
Cigna
| Professional | $94.28 | $275.64 | $352.84 | |
Moda Health
| Facility | $74.73 | $106.33 | $233.37 | |
Moda Health
| Professional | $151.13 | $266.12 | $330.03 | |
Premera BCBS
| Professional | $122.56 | $202.40 | $307.00 | |
Providence
| Facility | $78.20 | $115.68 | $233.37 | |
Providence
| Professional | $114.66 | $210.82 | $352.84 | |
United
| Professional | $256.89 | $282.82 | $423.42 |