| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $127.72 | $184.69 | $355.14 | |
Cigna
| Professional | $118.38 | $244.03 | $828.05 | |
Moda Health
| Professional | $277.31 | $352.26 | $632.00 | |
Premera BCBS
| Professional | $347.60 | $515.70 | $751.16 | |
Providence
| Professional | $166.97 | $464.31 | $796.00 | |
United
| Professional | $217.40 | $329.08 | $691.40 |