| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.44 | $99.50 | $956.22 | |
Aetna
| Professional | $12.33 | $23.84 | $52.21 | |
Cigna
| Facility | $29.16 | $29.16 | $29.16 | |
Cigna
| Professional | $7.81 | $12.39 | $15.49 | |
Moda Health
| Facility | $8.23 | $8.23 | $225.40 | |
Moda Health
| Professional | $10.56 | $10.56 | $42.24 | |
Premera BCBS
| Professional | $9.50 | $23.76 | $118.75 | |
Providence
| Facility | $8.23 | $8.23 | $8.23 | |
Providence
| Professional | $10.56 | $10.57 | $13.65 | |
United
| Professional | $6.65 | $21.12 | $31.86 |