| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.87 | $245.47 | $354.81 | |
Cigna
| Facility | $234.42 | $234.42 | $234.42 | |
Cigna
| Professional | $169.82 | $169.82 | $251.19 | |
Moda Health
| Facility | $120.23 | $346.74 | $398.11 | |
Moda Health
| Professional | $302.00 | $416.87 | $1,348.96 | |
Premera BCBS
| Facility | $354.81 | $398.11 | $416.87 | |
Premera BCBS
| Professional | $323.59 | $398.11 | $407.38 | |
Providence
| Facility | $120.23 | $120.23 | $416.87 | |
Providence
| Professional | $60.26 | $234.42 | $389.05 | |
United
| Facility | $186.21 | $186.21 | $208.93 | |
United
| Professional | $194.98 | $302.00 | $1,023.29 |