| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $149.11 | $180.46 | $338.34 | |
Cigna
| Professional | $154.15 | $154.15 | $155.11 | |
Moda Health
| Professional | $418.88 | $502.65 | $554.85 | |
Premera BCBS
| Professional | $233.42 | $383.25 | $769.50 | |
Providence
| Professional | $198.90 | $408.80 | $854.70 | |
United
| Professional | $445.07 | $491.50 | $618.57 |