| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.43 | $71.31 | $171.50 | |
Aetna
| Professional | $2.62 | $5.07 | $23.40 | |
Cigna
| Facility | $6.21 | $6.21 | $6.21 | |
Cigna
| Professional | $1.63 | $2.48 | $3.10 | |
Moda Health
| Facility | $1.96 | $1.96 | $60.47 | |
Moda Health
| Professional | $2.25 | $2.25 | $9.00 | |
Premera BCBS
| Professional | $2.02 | $5.05 | $40.00 | |
Providence
| Facility | $1.96 | $1.96 | $1.96 | |
Providence
| Professional | $2.24 | $2.25 | $3.24 | |
United
| Professional | $1.41 | $4.50 | $6.79 |