| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.67 | $153.15 | $153.15 | |
Cigna
| Professional | $47.34 | $47.34 | $47.34 | |
Moda Health
| Professional | $92.56 | $92.56 | $175.00 | |
Premera BCBS
| Professional | $47.15 | $125.00 | $183.00 | |
Providence
| Professional | $47.34 | $123.75 | $183.15 | |
United
| Professional | $145.71 | $145.71 | $145.71 |