| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.09 | $179.21 | $317.33 | |
Cigna
| Professional | $154.15 | $154.15 | $155.11 | |
Moda Health
| Professional | $238.45 | $502.65 | $554.85 | |
Premera BCBS
| Professional | $233.42 | $376.50 | $769.50 | |
Providence
| Professional | $170.03 | $351.40 | $827.82 | |
United
| Professional | $445.07 | $493.88 | $621.57 |