| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $19.05 | $28.84 | |
Cigna
| Professional | $21.38 | $21.38 | $21.38 | |
Moda Health
| Facility | $28.84 | $28.84 | $41.69 | |
Moda Health
| Professional | $19.05 | $22.91 | $60.26 | |
Premera BCBS
| Facility | $31.62 | $31.62 | $31.62 | |
Providence
| Facility | $28.84 | $28.84 | $41.69 | |
Providence
| Professional | $20.42 | $21.38 | $60.26 | |
United
| Professional | $22.91 | $22.91 | $22.91 |