| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.24 | $73.91 | $161.44 | |
Cigna
| Professional | $69.04 | $69.04 | $69.04 | |
Moda Health
| Facility | $78.22 | $161.44 | $226.02 | |
Moda Health
| Professional | $187.60 | $228.76 | $372.40 | |
Premera BCBS
| Facility | $314.55 | $314.55 | $3,495.87 | |
Premera BCBS
| Professional | $146.90 | $282.50 | $410.87 | |
Providence
| Facility | $69.89 | $161.44 | $226.02 | |
Providence
| Professional | $69.04 | $131.63 | $208.45 | |
United
| Professional | $198.48 | $235.60 | $306.39 |