| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.18 | $130.07 | $239.47 | |
Cigna
| Professional | $109.51 | $109.51 | $110.25 | |
Moda Health
| Professional | $297.60 | $357.12 | $394.30 | |
Premera BCBS
| Professional | $168.18 | $276.00 | $555.00 | |
Providence
| Professional | $140.76 | $276.00 | $603.90 | |
United
| Professional | $314.47 | $352.88 | $444.11 |