| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.68 | $49.08 | $49.08 | |
Cigna
| Professional | $9.42 | $9.42 | $9.42 | |
Moda Health
| Professional | $14.65 | $14.65 | $14.65 | |
Premera BCBS
| Professional | $13.19 | $13.19 | $32.96 | |
Providence
| Professional | $9.42 | $9.42 | $9.42 | |
United
| Professional | $43.95 | $43.95 | $43.95 |