| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.56 | $80.50 | $80.50 | |
Cigna
| Professional | $16.79 | $16.79 | $16.79 | |
Moda Health
| Professional | $24.03 | $24.03 | $24.03 | |
Premera BCBS
| Professional | $21.63 | $21.63 | $54.07 | |
Providence
| Professional | $16.79 | $16.79 | $16.79 | |
United
| Professional | $72.09 | $72.09 | $72.09 |