| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.53 | $75.29 | $75.29 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $44.34 | $52.17 | $55.62 | |
Moda Health
| Facility | $18.91 | $18.91 | $18.91 | |
Moda Health
| Professional | $24.67 | $82.72 | $130.61 | |
Premera BCBS
| Facility | $38.97 | $38.97 | $84.79 | |
Premera BCBS
| Professional | $61.09 | $84.79 | $184.58 | |
Providence
| Facility | $18.91 | $18.91 | $52.17 | |
Providence
| Professional | $44.34 | $65.27 | $101.75 | |
United
| Professional | $44.30 | $87.64 | $114.32 |