| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $81.28 | $107.15 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 | |
Moda Health
| Facility | $77.62 | $114.82 | $194.98 | |
Moda Health
| Professional | $100.00 | $269.15 | $467.74 | |
Premera BCBS
| Facility | $363.08 | $363.08 | $3,467.37 | |
Premera BCBS
| Professional | $173.78 | $346.74 | $467.74 | |
Providence
| Facility | $72.44 | $109.65 | $199.53 | |
Providence
| Professional | $79.43 | $87.10 | $223.87 | |
United
| Professional | $89.13 | $275.42 | $407.38 |