| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.96 | $39.59 | $58.04 | |
Cigna
| Professional | $49.97 | $110.75 | $153.12 | |
Moda Health
| Facility | $29.04 | $58.04 | $88.80 | |
Moda Health
| Professional | $75.48 | $128.00 | $169.72 | |
Premera BCBS
| Professional | $46.41 | $82.42 | $144.38 | |
Providence
| Facility | $29.04 | $58.04 | $90.02 | |
Providence
| Professional | $44.89 | $79.19 | $138.19 | |
United
| Professional | $109.13 | $122.50 | $159.31 |