| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.95 | $136.81 | $717.57 | |
Cigna
| Professional | $307.05 | $307.05 | $399.85 | |
Moda Health
| Professional | $238.55 | $619.50 | $892.93 | |
Premera BCBS
| Professional | $391.50 | $532.00 | $690.72 | |
Providence
| Professional | $189.34 | $477.00 | $690.72 | |
United
| Professional | $306.42 | $482.57 | $1,040.83 |