| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.71 | $30.71 | $30.71 | |
Aetna
| Professional | $9.57 | $12.85 | $25.11 | |
Cigna
| Professional | $10.42 | $25.73 | $39.08 | |
Moda Health
| Facility | $10.51 | $14.51 | $35.15 | |
Moda Health
| Professional | $20.55 | $33.00 | $38.97 | |
Premera BCBS
| Professional | $15.30 | $25.50 | $51.00 | |
Providence
| Facility | $10.94 | $14.75 | $35.15 | |
Providence
| Professional | $13.01 | $25.50 | $51.00 | |
United
| Professional | $28.13 | $31.26 | $47.16 |