| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.19 | $84.92 | $185.92 | |
Cigna
| Professional | $79.45 | $79.45 | $79.45 | |
Moda Health
| Facility | $89.99 | $185.92 | $260.29 | |
Moda Health
| Professional | $215.93 | $263.38 | $428.75 | |
Premera BCBS
| Facility | $360.45 | $360.45 | $3,495.87 | |
Premera BCBS
| Professional | $174.89 | $331.25 | $471.09 | |
Providence
| Facility | $80.61 | $185.92 | $260.29 | |
Providence
| Professional | $79.45 | $151.27 | $239.90 | |
United
| Professional | $228.55 | $273.58 | $355.79 |