| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.10 | $66.07 | $104.71 | |
Cigna
| Professional | $181.97 | $181.97 | $186.21 | |
Moda Health
| Professional | $104.71 | $169.82 | $181.97 | |
Premera BCBS
| Professional | $229.09 | $245.47 | $316.23 | |
Providence
| Professional | $60.26 | $61.66 | $186.21 | |
United
| Professional | $100.00 | $144.54 | $218.78 |