| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.05 | $87.19 | $241.04 | |
Aetna
| Professional | $12.41 | $42.21 | $90.33 | |
Cigna
| Facility | $34.81 | $34.81 | $34.81 | |
Cigna
| Professional | $7.62 | $14.46 | $30.87 | |
Moda Health
| Facility | $9.18 | $9.18 | $10.10 | |
Moda Health
| Professional | $11.34 | $37.79 | $50.40 | |
Premera BCBS
| Professional | $11.34 | $22.44 | $53.84 | |
Providence
| Facility | $9.18 | $9.18 | $9.18 | |
Providence
| Professional | $11.34 | $14.21 | $34.65 | |
United
| Professional | $6.73 | $25.20 | $38.02 |