| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.18 | $91.20 | $162.18 | |
Aetna
| Professional | $2.00 | $2.88 | $10.00 | |
Cigna
| Facility | $8.71 | $8.71 | $8.71 | |
Cigna
| Professional | $2.34 | $3.72 | $4.68 | |
Moda Health
| Facility | $2.75 | $3.16 | $144.54 | |
Moda Health
| Professional | $3.16 | $4.17 | $13.18 | |
Premera BCBS
| Facility | $10.96 | $12.30 | $20.42 | |
Premera BCBS
| Professional | $5.89 | $7.08 | $15.85 | |
Providence
| Facility | $2.75 | $2.75 | $2.75 | |
Providence
| Professional | $2.34 | $3.16 | $4.07 | |
United
| Professional | $2.00 | $6.31 | $9.55 |