| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.30 | $85.08 | $193.17 | |
Cigna
| Professional | $81.70 | $157.79 | $400.94 | |
Moda Health
| Facility | $99.03 | $175.02 | $270.44 | |
Moda Health
| Professional | $184.33 | $275.02 | $466.25 | |
Premera BCBS
| Facility | $135.44 | $135.44 | $205.00 | |
Premera BCBS
| Professional | $177.80 | $249.00 | $355.20 | |
Providence
| Facility | $82.60 | $166.69 | $270.44 | |
Providence
| Professional | $122.98 | $226.42 | $378.75 | |
United
| Professional | $243.60 | $295.00 | $416.36 |