| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $53.70 | $60.26 | |
Moda Health
| Facility | $32.36 | $60.26 | $87.10 | |
Moda Health
| Professional | $30.90 | $53.70 | $67.61 | |
Premera BCBS
| Professional | $223.87 | $234.42 | $234.42 | |
Providence
| Facility | $36.31 | $60.26 | $87.10 | |
United
| Professional | $79.43 | $131.83 | $239.88 |