| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.94 | $55.75 | $97.25 | |
Cigna
| Professional | $44.04 | $44.04 | $44.44 | |
Moda Health
| Facility | $41.33 | $59.87 | $136.15 | |
Moda Health
| Professional | $119.68 | $143.61 | $162.03 | |
Premera BCBS
| Professional | $70.98 | $126.40 | $237.00 | |
Providence
| Facility | $44.34 | $64.81 | $136.15 | |
Providence
| Professional | $56.61 | $126.40 | $239.25 | |
United
| Professional | $124.59 | $151.26 | $189.38 |