| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $38.02 | $52.48 | |
Moda Health
| Facility | $39.81 | $39.81 | $47.86 | |
Moda Health
| Professional | $13.49 | $44.67 | $120.23 | |
Premera BCBS
| Professional | $70.79 | $100.00 | $123.03 | |
Providence
| Facility | $16.60 | $39.81 | $47.86 | |
United
| Professional | $22.39 | $50.12 | $75.86 |