| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $131.83 | $239.88 | |
Cigna
| Professional | $323.59 | $323.59 | $323.59 | |
Moda Health
| Professional | $263.03 | $295.12 | $371.54 | |
Premera BCBS
| Professional | $251.19 | $478.63 | $512.86 | |
Providence
| Professional | $60.26 | $128.82 | $363.08 | |
United
| Professional | $123.03 | $257.04 | $389.05 |