| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $107.15 | $117.49 | |
Moda Health
| Facility | $54.95 | $79.43 | $151.36 | |
Moda Health
| Professional | $54.95 | $58.88 | $123.03 | |
Premera BCBS
| Professional | $117.49 | $190.55 | $338.84 | |
Providence
| Facility | $7.59 | $79.43 | $151.36 | |
United
| Professional | $181.97 | $302.00 | $537.03 |