| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.88 | $546.00 | $655.80 | |
Aetna
| Professional | $27.50 | $41.48 | $91.77 | |
Cigna
| Professional | $44.35 | $76.13 | $143.21 | |
Moda Health
| Facility | $57.96 | $91.77 | $131.22 | |
Moda Health
| Professional | $59.03 | $94.61 | $130.00 | |
Premera BCBS
| Professional | $53.11 | $102.05 | $186.00 | |
Providence
| Facility | $57.96 | $82.88 | $128.47 | |
Providence
| Professional | $41.03 | $81.28 | $176.12 | |
United
| Professional | $44.75 | $114.56 | $171.84 |