| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $652.41 | $652.41 | $652.41 | |
Cigna
| Facility | $283.73 | $283.73 | $283.73 | |
Cigna
| Professional | $241.17 | $283.73 | $292.24 | |
Moda Health
| Facility | $213.34 | $358.65 | $513.48 | |
Moda Health
| Professional | $59.48 | $61.11 | $64.33 | |
Premera BCBS
| Professional | $60.96 | $474.50 | $771.03 | |
Providence
| Facility | $250.91 | $338.43 | $507.65 | |
Providence
| Professional | $241.17 | $283.73 | $292.24 | |
United
| Professional | $309.30 | $592.83 | $1,082.55 |