| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.08 | $14.13 | $15.85 | |
Cigna
| Professional | $10.23 | $10.23 | $10.23 | |
Moda Health
| Facility | $16.60 | $16.60 | $16.60 | |
Moda Health
| Professional | $14.13 | $16.60 | $56.23 | |
Premera BCBS
| Facility | $17.78 | $17.78 | $17.78 | |
Premera BCBS
| Professional | $16.98 | $16.98 | $16.98 | |
Providence
| Facility | $10.00 | $14.45 | $72.44 | |
Providence
| Professional | $10.23 | $12.88 | $60.26 | |
United
| Professional | $13.49 | $27.54 | $42.66 |