| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.34 | $71.34 | $71.34 | |
Cigna
| Professional | $42.56 | $42.56 | $42.56 | |
Moda Health
| Professional | $98.74 | $138.78 | $150.35 | |
Premera BCBS
| Professional | $88.90 | $193.05 | $254.00 | |
Providence
| Professional | $42.56 | $42.56 | $42.56 | |
United
| Professional | $103.56 | $103.56 | $116.51 |