| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.68 | $126.54 | $245.91 | |
Cigna
| Professional | $145.22 | $145.22 | $148.58 | |
Moda Health
| Facility | $98.63 | $143.12 | $344.27 | |
Moda Health
| Professional | $308.89 | $401.57 | $508.28 | |
Premera BCBS
| Professional | $173.66 | $345.80 | $681.87 | |
Providence
| Facility | $112.68 | $162.71 | $344.27 | |
Providence
| Professional | $145.60 | $259.17 | $606.25 | |
United
| Professional | $354.88 | $355.10 | $446.91 |