| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.10 | $55.74 | $95.43 | |
Cigna
| Professional | $43.15 | $43.15 | $43.48 | |
Moda Health
| Professional | $117.25 | $140.69 | $159.05 | |
Premera BCBS
| Professional | $70.65 | $126.40 | $258.83 | |
Providence
| Professional | $55.46 | $126.40 | $237.00 | |
United
| Professional | $122.01 | $150.97 | $189.03 |