| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $158.49 | $263.03 | |
Cigna
| Professional | $263.03 | $263.03 | $380.19 | |
Moda Health
| Professional | $251.19 | $323.59 | $416.87 | |
Premera BCBS
| Professional | $309.03 | $549.54 | $575.44 | |
Providence
| Professional | $60.26 | $229.09 | $436.52 | |
United
| Professional | $154.88 | $302.00 | $457.09 |