| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.47 | $51.47 | $51.47 | |
Cigna
| Facility | $36.21 | $36.21 | $36.21 | |
Cigna
| Professional | $26.43 | $36.21 | $37.29 | |
Moda Health
| Facility | $15.68 | $15.68 | $15.68 | |
Moda Health
| Professional | $51.38 | $51.38 | $81.12 | |
Premera BCBS
| Facility | $47.35 | $47.35 | $52.81 | |
Premera BCBS
| Professional | $42.79 | $52.81 | $108.90 | |
Providence
| Facility | $15.68 | $15.68 | $44.96 | |
Providence
| Professional | $36.21 | $43.56 | $66.91 | |
United
| Professional | $26.98 | $51.70 | $94.42 |