| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.32 | $251.44 | $251.44 | |
Cigna
| Professional | $127.09 | $146.99 | $172.33 | |
Moda Health
| Professional | $126.15 | $194.19 | $354.64 | |
Premera BCBS
| Professional | $174.15 | $218.75 | $298.00 | |
Providence
| Professional | $90.41 | $196.25 | $298.00 | |
United
| Professional | $130.60 | $207.98 | $344.65 |