| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.36 | $177.83 | $363.08 | |
Cigna
| Professional | $144.54 | $234.42 | $489.78 | |
Moda Health
| Professional | $323.59 | $407.38 | $741.31 | |
Premera BCBS
| Professional | $416.87 | $630.96 | $912.01 | |
Providence
| Professional | $144.54 | $245.47 | $489.78 | |
United
| Professional | $151.36 | $389.05 | $588.84 |