| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $97.72 | $128.82 | |
Aetna
| Professional | $28.18 | $38.02 | $53.70 | |
Cigna
| Professional | $39.81 | $97.72 | $162.18 | |
Moda Health
| Facility | $26.92 | $41.69 | $95.50 | |
Moda Health
| Professional | $36.31 | $100.00 | $173.78 | |
Premera BCBS
| Professional | $53.70 | $97.72 | $134.90 | |
Providence
| Facility | $28.84 | $38.90 | $72.44 | |
Providence
| Professional | $39.81 | $66.07 | $125.89 | |
United
| Professional | $74.13 | $120.23 | $151.36 |