| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.42 | $16.82 | $30.62 | |
Cigna
| Professional | $12.80 | $12.80 | $12.80 | |
Moda Health
| Facility | $11.80 | $23.85 | $59.04 | |
Moda Health
| Professional | $15.20 | $40.79 | $45.33 | |
Premera BCBS
| Professional | $16.64 | $32.29 | $70.20 | |
Providence
| Facility | $14.09 | $24.66 | $59.04 | |
Providence
| Professional | $15.44 | $37.95 | $76.16 | |
United
| Professional | $36.34 | $65.40 | $82.31 |