| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.13 | $136.13 | $163.69 | |
Aetna
| Professional | $44.67 | $56.57 | $99.39 | |
Cigna
| Professional | $54.91 | $164.28 | $215.76 | |
Moda Health
| Facility | $45.60 | $63.70 | $139.15 | |
Moda Health
| Professional | $88.86 | $160.00 | $200.79 | |
Premera BCBS
| Professional | $73.20 | $124.44 | $189.80 | |
Providence
| Facility | $47.55 | $70.37 | $139.15 | |
Providence
| Professional | $66.43 | $131.18 | $219.60 | |
United
| Professional | $155.52 | $172.60 | $217.22 |