| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.87 | $223.37 | $408.85 | |
Cigna
| Professional | $184.50 | $184.50 | $185.36 | |
Moda Health
| Professional | $501.38 | $601.65 | $670.68 | |
Premera BCBS
| Professional | $284.25 | $473.25 | $946.50 | |
Providence
| Professional | $237.92 | $504.80 | $1,021.35 | |
United
| Professional | $531.84 | $609.50 | $767.08 |