| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $51.04 | $177.37 | |
Cigna
| Professional | $18.32 | $18.32 | $37.47 | |
Moda Health
| Professional | $22.33 | $66.95 | $71.87 | |
Premera BCBS
| Professional | $58.75 | $86.25 | $126.27 | |
Providence
| Professional | $18.32 | $60.00 | $132.53 | |
United
| Professional | $36.08 | $36.64 | $55.28 |