| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.81 | $87.84 | $87.84 | |
Cigna
| Professional | $61.02 | $61.02 | $61.02 | |
Moda Health
| Professional | $26.22 | $26.22 | $78.66 | |
Premera BCBS
| Professional | $23.60 | $23.60 | $59.00 | |
Providence
| Professional | $61.02 | $61.02 | $61.02 | |
United
| Professional | $38.02 | $52.44 | $78.66 |