| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $154.88 | $186.21 | |
Aetna
| Professional | $43.65 | $56.23 | $77.62 | |
Cigna
| Professional | $58.88 | $151.36 | $234.42 | |
Moda Health
| Facility | $43.65 | $56.23 | $112.20 | |
Moda Health
| Professional | $53.70 | $151.36 | $229.09 | |
Premera BCBS
| Professional | $83.18 | $134.90 | $199.53 | |
Providence
| Facility | $43.65 | $57.54 | $107.15 | |
Providence
| Professional | $60.26 | $79.43 | $194.98 | |
United
| Professional | $87.10 | $177.83 | $234.42 |