| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.74 | $150.74 | $182.15 | |
Aetna
| Professional | $47.42 | $61.32 | $106.39 | |
Cigna
| Professional | $59.34 | $182.49 | $233.92 | |
Moda Health
| Facility | $45.82 | $67.09 | $148.94 | |
Moda Health
| Professional | $96.72 | $173.90 | $214.47 | |
Premera BCBS
| Professional | $80.50 | $131.19 | $200.00 | |
Providence
| Facility | $48.17 | $76.76 | $148.94 | |
Providence
| Professional | $73.70 | $140.26 | $233.92 | |
United
| Professional | $172.69 | $187.50 | $235.52 |