| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $208.93 | $229.09 | |
Aetna
| Professional | $60.26 | $72.44 | $91.20 | |
Cigna
| Professional | $75.86 | $204.17 | $288.40 | |
Moda Health
| Facility | $57.54 | $72.44 | $169.82 | |
Moda Health
| Professional | $69.18 | $208.93 | $288.40 | |
Premera BCBS
| Professional | $109.65 | $208.93 | $245.47 | |
Providence
| Facility | $60.26 | $74.13 | $151.36 | |
Providence
| Professional | $60.26 | $104.71 | $263.03 | |
United
| Professional | $128.82 | $229.09 | $288.40 |