| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.45 | $80.23 | $159.03 | |
Cigna
| Professional | $102.67 | $102.67 | $106.33 | |
Moda Health
| Facility | $64.20 | $94.02 | $222.64 | |
Moda Health
| Professional | $200.55 | $261.68 | $359.35 | |
Premera BCBS
| Professional | $111.00 | $210.90 | $463.05 | |
Providence
| Facility | $72.37 | $104.67 | $222.64 | |
Providence
| Professional | $102.67 | $166.50 | $405.90 | |
United
| Professional | $211.36 | $217.68 | $273.95 |