| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $373.66 | $373.66 | $770.21 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Moda Health
| Professional | $192.38 | $357.12 | $644.00 | |
Premera BCBS
| Professional | $460.00 | $511.65 | $1,235.25 | |
Providence
| Professional | $288.75 | $597.00 | $1,235.25 | |
United
| Professional | $152.81 | $481.26 | $1,835.91 |