| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $60.26 | $81.28 | |
Cigna
| Professional | $36.31 | $51.29 | $100.00 | |
Moda Health
| Facility | $52.48 | $67.61 | $138.04 | |
Moda Health
| Professional | $57.54 | $141.25 | $223.87 | |
Premera BCBS
| Professional | $81.28 | $114.82 | $223.87 | |
Providence
| Facility | $53.70 | $69.18 | $138.04 | |
Providence
| Professional | $38.90 | $70.79 | $147.91 | |
United
| Professional | $75.86 | $173.78 | $371.54 |