| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $38.90 | $72.44 | |
Cigna
| Facility | $35.48 | $35.48 | $35.48 | |
Cigna
| Professional | $25.70 | $25.70 | $36.31 | |
Moda Health
| Facility | $35.48 | $35.48 | $54.95 | |
Moda Health
| Professional | $39.81 | $54.95 | $177.83 | |
Premera BCBS
| Facility | $47.86 | $52.48 | $54.95 | |
Premera BCBS
| Professional | $44.67 | $52.48 | $67.61 | |
Providence
| Facility | $35.48 | $35.48 | $54.95 | |
Providence
| Professional | $25.70 | $39.81 | $60.26 | |
United
| Facility | $28.18 | $28.18 | $38.02 | |
United
| Professional | $26.92 | $51.29 | $117.49 |