| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $40.74 | $50.12 | |
Moda Health
| Facility | $29.51 | $47.86 | $72.44 | |
Moda Health
| Professional | $32.36 | $42.66 | $50.12 | |
Premera BCBS
| Professional | $151.36 | $173.78 | $239.88 | |
Providence
| Facility | $31.62 | $41.69 | $72.44 | |
United
| Professional | $104.71 | $123.03 | $223.87 |