| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.76 | $138.76 | $184.72 | |
Aetna
| Professional | $28.04 | $47.24 | $114.43 | |
Cigna
| Professional | $54.49 | $89.63 | $141.08 | |
Moda Health
| Facility | $32.43 | $63.66 | $140.05 | |
Moda Health
| Professional | $90.07 | $175.04 | $229.19 | |
Premera BCBS
| Professional | $49.58 | $98.25 | $180.18 | |
Providence
| Facility | $41.30 | $68.22 | $149.93 | |
Providence
| Professional | $48.84 | $91.70 | $183.29 | |
United
| Professional | $112.86 | $118.26 | $169.29 |