| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.11 | $239.11 | $566.58 | |
Cigna
| Professional | $128.06 | $128.06 | $324.54 | |
Moda Health
| Professional | $256.91 | $342.54 | $353.00 | |
Premera BCBS
| Professional | $258.99 | $411.00 | $511.85 | |
Providence
| Professional | $128.06 | $338.20 | $499.80 | |
United
| Professional | $112.86 | $259.64 | $391.69 |