| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.55 | $183.71 | $319.32 | |
Cigna
| Professional | $141.06 | $141.06 | $141.15 | |
Moda Health
| Facility | $136.56 | $198.42 | $447.05 | |
Moda Health
| Professional | $383.30 | $459.96 | $522.54 | |
Premera BCBS
| Professional | $233.55 | $416.00 | $846.09 | |
Providence
| Facility | $145.76 | $209.02 | $447.05 | |
Providence
| Professional | $181.31 | $416.00 | $785.40 | |
United
| Professional | $408.97 | $501.52 | $631.17 |