| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.89 | $557.21 | $751.80 | |
Cigna
| Professional | $340.70 | $340.70 | $425.43 | |
Moda Health
| Professional | $264.43 | $686.70 | $934.89 | |
Premera BCBS
| Professional | $436.05 | $589.95 | $766.00 | |
Providence
| Professional | $207.36 | $533.75 | $752.00 | |
United
| Professional | $338.58 | $513.44 | $1,107.42 |