| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.20 | $109.65 | $134.90 | |
Cigna
| Professional | $141.25 | $141.25 | $144.54 | |
Moda Health
| Facility | $89.13 | $109.65 | $234.42 | |
Moda Health
| Professional | $117.49 | $371.54 | $549.54 | |
Premera BCBS
| Professional | $162.18 | $489.78 | $645.65 | |
Providence
| Facility | $91.20 | $114.82 | $229.09 | |
Providence
| Professional | $60.26 | $138.04 | $181.97 | |
United
| Professional | $165.96 | $309.03 | $389.05 |