| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.82 | $23.75 | $38.77 | |
Cigna
| Professional | $12.24 | $18.92 | $80.00 | |
Moda Health
| Professional | $31.79 | $52.41 | $66.69 | |
Premera BCBS
| Professional | $24.22 | $34.56 | $71.55 | |
Providence
| Professional | $18.92 | $33.60 | $75.00 | |
United
| Professional | $21.60 | $45.25 | $47.14 |