| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.96 | $46.76 | $76.06 | |
Cigna
| Professional | $42.56 | $42.56 | $46.54 | |
Moda Health
| Facility | $36.10 | $53.51 | $106.50 | |
Moda Health
| Professional | $58.90 | $134.15 | $150.35 | |
Premera BCBS
| Professional | $60.75 | $93.00 | $207.35 | |
Providence
| Facility | $39.68 | $54.32 | $106.50 | |
Providence
| Professional | $46.54 | $86.80 | $202.50 | |
United
| Professional | $103.56 | $106.22 | $130.33 |