| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.05 | $81.05 | $81.05 | |
Cigna
| Facility | $57.67 | $57.67 | $57.67 | |
Cigna
| Professional | $42.10 | $63.68 | $90.07 | |
Moda Health
| Facility | $29.09 | $29.09 | $29.09 | |
Moda Health
| Professional | $26.55 | $89.03 | $140.58 | |
Premera BCBS
| Professional | $91.27 | $91.27 | $91.27 | |
Providence
| Facility | $29.09 | $29.09 | $57.67 | |
Providence
| Professional | $42.10 | $63.68 | $90.07 | |
United
| Professional | $47.69 | $94.35 | $123.06 |