| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $268.56 | $554.84 | $554.84 | |
Cigna
| Facility | $318.39 | $318.39 | $318.39 | |
Cigna
| Professional | $270.64 | $270.64 | $327.95 | |
Moda Health
| Facility | $190.51 | $290.24 | $455.90 | |
Moda Health
| Professional | $49.05 | $49.05 | $49.05 | |
Premera BCBS
| Professional | $51.18 | $65.56 | $516.29 | |
Providence
| Facility | $190.51 | $290.24 | $455.90 | |
Providence
| Professional | $48.39 | $270.64 | $318.39 | |
United
| Professional | $26.75 | $27.99 | $66.89 |