| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $367.79 | $744.16 | $1,231.30 | |
Cigna
| Professional | $310.38 | $310.38 | $310.38 | |
Moda Health
| Professional | $477.85 | $1,012.11 | $1,825.25 | |
Premera BCBS
| Professional | $1,257.50 | $1,441.80 | $3,068.30 | |
Providence
| Professional | $688.35 | $1,537.50 | $3,068.30 | |
United
| Professional | $799.84 | $825.48 | $4,723.56 |