| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.36 | $104.98 | $186.53 | |
Cigna
| Professional | $92.85 | $92.85 | $92.85 | |
Moda Health
| Facility | $108.91 | $186.53 | $261.14 | |
Moda Health
| Professional | $186.82 | $302.76 | $457.24 | |
Premera BCBS
| Facility | $140.43 | $140.43 | $422.55 | |
Premera BCBS
| Professional | $208.76 | $390.00 | $570.96 | |
Providence
| Facility | $100.27 | $186.53 | $261.14 | |
Providence
| Professional | $97.40 | $249.61 | $537.25 | |
United
| Professional | $122.30 | $289.38 | $600.46 |