| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.61 | $32.53 | $70.92 | |
Cigna
| Professional | $29.76 | $29.76 | $29.76 | |
Moda Health
| Facility | $33.40 | $70.92 | $99.29 | |
Moda Health
| Professional | $80.88 | $99.89 | $167.26 | |
Premera BCBS
| Facility | $136.35 | $136.35 | $3,495.87 | |
Premera BCBS
| Professional | $65.65 | $127.26 | $180.64 | |
Providence
| Facility | $30.77 | $70.92 | $99.29 | |
Providence
| Professional | $29.76 | $57.61 | $91.65 | |
United
| Professional | $86.79 | $104.98 | $132.12 |