| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $22.91 | $48.98 | |
Cigna
| Facility | $23.99 | $23.99 | $23.99 | |
Cigna
| Professional | $17.78 | $17.78 | $25.12 | |
Moda Health
| Facility | $10.47 | $34.67 | $35.48 | |
Moda Health
| Professional | $25.70 | $37.15 | $120.23 | |
Premera BCBS
| Facility | $31.62 | $35.48 | $37.15 | |
Premera BCBS
| Professional | $28.84 | $35.48 | $44.67 | |
Providence
| Facility | $10.47 | $10.47 | $38.02 | |
Providence
| Professional | $17.78 | $26.92 | $60.26 | |
United
| Facility | $18.62 | $18.62 | $25.70 | |
United
| Professional | $18.20 | $34.67 | $79.43 |