| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $81.28 | $177.83 | |
Cigna
| Professional | $144.54 | $144.54 | $208.93 | |
Moda Health
| Professional | $74.13 | $165.96 | $213.80 | |
Premera BCBS
| Professional | $239.88 | $251.19 | $331.13 | |
Providence
| Professional | $60.26 | $67.61 | $208.93 | |
United
| Professional | $102.33 | $165.96 | $251.19 |