| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.24 | $2.24 | $2.24 | |
Cigna
| Professional | $1.38 | $1.38 | $1.38 | |
Moda Health
| Facility | $2.24 | $2.46 | $4.98 | |
Moda Health
| Professional | $2.00 | $2.85 | $2.85 | |
Premera BCBS
| Facility | $8.10 | $8.10 | $3,495.87 | |
Premera BCBS
| Professional | $3.77 | $8.10 | $11.54 | |
Providence
| Facility | $2.24 | $2.46 | $6.17 | |
Providence
| Professional | $2.85 | $7.50 | $12.00 | |
United
| Professional | $1.45 | $1.52 | $7.26 |