| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $3.02 | $3.98 | |
Cigna
| Professional | $1.62 | $1.62 | $1.62 | |
Moda Health
| Facility | $3.47 | $5.89 | $5.89 | |
Moda Health
| Professional | $3.02 | $6.17 | $19.95 | |
Premera BCBS
| Facility | $6.17 | $6.17 | $6.17 | |
Premera BCBS
| Professional | $5.89 | $5.89 | $5.89 | |
Providence
| Facility | $3.47 | $3.47 | $5.01 | |
Providence
| Professional | $1.62 | $2.69 | $60.26 | |
United
| Professional | $7.41 | $9.77 | $14.79 |