| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $61.66 | $107.15 | |
Moda Health
| Facility | $52.48 | $102.33 | $158.49 | |
Moda Health
| Professional | $48.98 | $66.07 | $95.50 | |
Premera BCBS
| Professional | $95.50 | $245.47 | $269.15 | |
Providence
| Facility | $52.48 | $75.86 | $144.54 | |
Providence
| Professional | $83.18 | $83.18 | $83.18 | |
United
| Professional | $74.13 | $123.03 | $269.15 |