| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $309.03 | $338.84 | $501.19 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Cigna
| Professional | $239.88 | $239.88 | $346.74 | |
Moda Health
| Facility | $165.96 | $489.78 | $549.54 | |
Moda Health
| Professional | $426.58 | $575.44 | $1,862.09 | |
Premera BCBS
| Facility | $501.19 | $549.54 | $575.44 | |
Premera BCBS
| Professional | $457.09 | $549.54 | $575.44 | |
Providence
| Facility | $165.96 | $165.96 | $575.44 | |
Providence
| Professional | $60.26 | $323.59 | $537.03 | |
United
| Facility | $257.04 | $257.04 | $295.12 | |
United
| Professional | $275.42 | $446.68 | $1,412.54 |