| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.14 | $77.27 | $146.44 | |
Cigna
| Professional | $94.93 | $94.93 | $97.80 | |
Moda Health
| Facility | $58.38 | $84.97 | $205.03 | |
Moda Health
| Professional | $183.58 | $240.23 | $332.27 | |
Premera BCBS
| Professional | $103.28 | $204.25 | $430.00 | |
Providence
| Facility | $67.64 | $96.09 | $205.03 | |
Providence
| Professional | $94.93 | $157.52 | $374.55 | |
United
| Professional | $195.03 | $209.26 | $261.22 |