| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.09 | $209.09 | $230.54 | |
Aetna
| Professional | $64.73 | $82.26 | $147.57 | |
Cigna
| Professional | $76.73 | $96.13 | $281.29 | |
Moda Health
| Facility | $63.95 | $90.80 | $206.60 | |
Moda Health
| Professional | $181.15 | $235.50 | $291.20 | |
Premera BCBS
| Professional | $106.20 | $183.68 | $254.00 | |
Providence
| Facility | $71.20 | $107.56 | $206.60 | |
Providence
| Professional | $96.66 | $181.51 | $291.25 | |
United
| Professional | $224.72 | $225.04 | $283.22 |