| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.99 | $96.99 | $125.33 | |
Aetna
| Professional | $26.06 | $36.15 | $68.45 | |
Cigna
| Professional | $38.08 | $95.64 | $125.90 | |
Moda Health
| Facility | $28.70 | $43.33 | $97.88 | |
Moda Health
| Professional | $62.87 | $111.30 | $149.27 | |
Premera BCBS
| Professional | $43.20 | $76.95 | $118.08 | |
Providence
| Facility | $30.79 | $45.79 | $101.72 | |
Providence
| Professional | $40.50 | $76.22 | $130.00 | |
United
| Professional | $102.18 | $102.34 | $128.80 |