| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $69.18 | $83.18 | |
Cigna
| Professional | $95.50 | $95.50 | $97.72 | |
Moda Health
| Facility | $57.54 | $70.79 | $151.36 | |
Moda Health
| Professional | $79.43 | $239.88 | $363.08 | |
Premera BCBS
| Professional | $109.65 | $302.00 | $426.58 | |
Providence
| Facility | $58.88 | $72.44 | $147.91 | |
Providence
| Professional | $60.26 | $87.10 | $120.23 | |
United
| Professional | $114.82 | $208.93 | $263.03 |