| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.49 | $251.49 | $347.23 | |
Aetna
| Professional | $56.10 | $89.99 | $219.25 | |
Cigna
| Professional | $100.37 | $181.28 | $290.22 | |
Moda Health
| Facility | $62.45 | $116.54 | $257.31 | |
Moda Health
| Professional | $162.01 | $320.45 | $427.86 | |
Premera BCBS
| Professional | $96.40 | $187.74 | $336.25 | |
Providence
| Facility | $76.84 | $129.25 | $281.82 | |
Providence
| Professional | $96.40 | $181.28 | $335.00 | |
United
| Professional | $232.18 | $237.32 | $337.67 |