| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.11 | $203.11 | $220.72 | |
Aetna
| Professional | $62.75 | $79.65 | $148.29 | |
Cigna
| Professional | $75.28 | $220.53 | $288.95 | |
Moda Health
| Facility | $61.25 | $90.05 | $207.61 | |
Moda Health
| Professional | $133.59 | $231.37 | $287.19 | |
Premera BCBS
| Professional | $108.62 | $180.94 | $253.05 | |
Providence
| Facility | $67.75 | $94.65 | $207.61 | |
Providence
| Professional | $96.40 | $180.75 | $301.25 | |
United
| Professional | $230.86 | $231.16 | $290.92 |