| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.90 | $92.59 | $92.59 | |
Cigna
| Professional | $16.79 | $16.79 | $16.79 | |
Moda Health
| Professional | $27.64 | $27.64 | $27.64 | |
Premera BCBS
| Professional | $24.88 | $24.88 | $62.19 | |
Providence
| Professional | $16.79 | $16.79 | $16.79 | |
United
| Professional | $82.92 | $82.92 | $82.92 |