| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $549.54 | $588.84 | $831.76 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Cigna
| Professional | $457.09 | $457.09 | $741.31 | |
Moda Health
| Facility | $295.12 | $812.83 | $912.01 | |
Moda Health
| Professional | $812.83 | $933.25 | $2,951.21 | |
Premera BCBS
| Facility | $831.76 | $912.01 | $954.99 | |
Premera BCBS
| Professional | $741.31 | $912.01 | $933.25 | |
Providence
| Facility | $295.12 | $295.12 | $977.24 | |
Providence
| Professional | $60.26 | $630.96 | $912.01 | |
United
| Facility | $457.09 | $457.09 | $467.74 | |
United
| Professional | $457.09 | $707.95 | $2,344.23 |