| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.17 | $68.09 | $141.59 | |
Cigna
| Professional | $80.77 | $100.96 | $226.23 | |
Moda Health
| Facility | $64.54 | $117.98 | $198.23 | |
Moda Health
| Professional | $78.80 | $92.15 | $124.53 | |
Premera BCBS
| Professional | $86.85 | $129.31 | $258.75 | |
Providence
| Facility | $64.54 | $120.27 | $162.83 | |
Providence
| Professional | $57.30 | $114.40 | $239.40 | |
United
| Professional | $60.00 | $169.68 | $307.86 |