| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $211.06 | $232.71 | $338.14 | |
Cigna
| Professional | $65.81 | $306.38 | $382.97 | |
Moda Health
| Facility | $217.26 | $330.34 | $396.41 | |
Premera BCBS
| Professional | $262.81 | $262.81 | $262.81 | |
Providence
| Facility | $217.26 | $330.34 | $396.41 | |
Providence
| Professional | $262.81 | $1,800,000.00 | $2,400,000.00 |