| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $145.86 | $322.74 | $322.74 | |
Cigna
| Facility | $147.10 | $147.10 | $147.10 | |
Cigna
| Professional | $107.38 | $125.04 | $151.51 | |
Moda Health
| Facility | $107.21 | $155.47 | $239.25 | |
Moda Health
| Professional | $29.39 | $29.39 | $82.33 | |
Premera BCBS
| Professional | $17.57 | $30.15 | $38.14 | |
Providence
| Facility | $107.21 | $151.13 | $239.25 | |
Providence
| Professional | $24.82 | $107.38 | $147.10 | |
United
| Professional | $14.54 | $23.15 | $60.09 |