| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.38 | $21.38 | $21.38 | |
Moda Health
| Facility | $26.92 | $26.92 | $30.20 | |
Moda Health
| Professional | $26.92 | $26.92 | $81.28 | |
Premera BCBS
| Professional | $24.55 | $60.26 | $60.26 | |
Providence
| Facility | $21.88 | $30.20 | $41.69 | |
United
| Professional | $16.22 | $53.70 | $81.28 |