| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.14 | $51.52 | $93.08 | |
Cigna
| Professional | $64.28 | $64.28 | $67.02 | |
Moda Health
| Facility | $38.15 | $54.41 | $130.31 | |
Moda Health
| Professional | $113.23 | $151.13 | $224.98 | |
Premera BCBS
| Professional | $69.00 | $175.00 | $292.95 | |
Providence
| Facility | $42.62 | $60.45 | $130.31 | |
Providence
| Professional | $64.28 | $107.70 | $253.25 | |
United
| Professional | $122.01 | $138.30 | $173.75 |