| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.74 | $16.41 | $30.47 | |
Cigna
| Professional | $14.78 | $14.88 | $22.50 | |
Moda Health
| Professional | $19.13 | $48.51 | $53.70 | |
Premera BCBS
| Professional | $22.05 | $32.34 | $72.00 | |
Providence
| Professional | $19.13 | $31.49 | $72.00 | |
United
| Professional | $42.09 | $46.84 | $60.92 |