| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $825.57 | $1,371.51 | $2,330.23 | |
Aetna
| Professional | $122.01 | $665.78 | $761.97 | |
Cigna
| Facility | $549.02 | $549.02 | $549.02 | |
Cigna
| Professional | $60.16 | $207.38 | $259.22 | |
Moda Health
| Facility | $144.74 | $160.97 | $255.11 | |
Moda Health
| Professional | $198.74 | $198.74 | $794.96 | |
Premera BCBS
| Facility | $664.12 | $735.34 | $794.96 | |
Premera BCBS
| Professional | $178.87 | $306.51 | $794.96 | |
Providence
| Facility | $549.02 | $695.59 | $794.96 | |
Providence
| Professional | $157.72 | $198.74 | $546.54 | |
United
| Professional | $74.70 | $397.48 | $599.64 |