| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.81 | $14.76 | $34.24 | |
Cigna
| Professional | $21.43 | $23.91 | $34.22 | |
Moda Health
| Facility | $11.66 | $26.58 | $39.38 | |
Moda Health
| Professional | $27.16 | $62.55 | $72.00 | |
Premera BCBS
| Professional | $15.50 | $38.76 | $95.85 | |
Providence
| Facility | $10.56 | $26.66 | $39.38 | |
Providence
| Professional | $15.50 | $29.65 | $72.61 | |
United
| Professional | $26.57 | $44.53 | $59.04 |