| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.15 | $0.15 | $0.15 | |
Cigna
| Professional | $0.17 | $0.17 | $0.17 | |
Moda Health
| Facility | $0.15 | $0.15 | $0.21 | |
Premera BCBS
| Facility | $3.57 | $3.57 | $3,495.87 | |
Premera BCBS
| Professional | $2.60 | $3.57 | $3.57 | |
Providence
| Facility | $0.15 | $0.15 | $0.21 | |
Providence
| Professional | $0.17 | $0.17 | $2,400,000.00 | |
United
| Professional | $0.24 | $0.24 | $1.20 |