| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.30 | $75.81 | $130.06 | |
Cigna
| Professional | $24.28 | $36.74 | $76.69 | |
Moda Health
| Professional | $35.58 | $42.69 | $78.59 | |
Premera BCBS
| Professional | $35.42 | $63.80 | $113.24 | |
Providence
| Professional | $26.04 | $55.80 | $102.50 | |
United
| Professional | $25.46 | $61.34 | $92.54 |