| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.89 | $22.76 | $22.76 | |
Cigna
| Professional | $16.64 | $16.64 | $16.64 | |
Moda Health
| Facility | $32.54 | $32.54 | $32.54 | |
Premera BCBS
| Facility | $24.53 | $24.53 | $38.54 | |
Providence
| Facility | $23.81 | $32.54 | $56.13 | |
Providence
| Professional | $16.64 | $16.64 | $16.64 | |
United
| Professional | $15.32 | $15.32 | $23.60 |