| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $25.57 | $73.19 | |
Cigna
| Professional | $16.43 | $16.43 | $19.39 | |
Moda Health
| Professional | $17.10 | $42.69 | $45.82 | |
Premera BCBS
| Professional | $37.50 | $46.20 | $80.52 | |
Providence
| Professional | $16.43 | $51.60 | $82.26 | |
United
| Professional | $14.32 | $32.79 | $49.57 |