| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.94 | $59.62 | $59.62 | |
Cigna
| Facility | $36.61 | $36.61 | $36.61 | |
Cigna
| Professional | $26.73 | $36.61 | $39.03 | |
Moda Health
| Facility | $17.53 | $17.53 | $17.53 | |
Moda Health
| Professional | $64.98 | $66.11 | $104.39 | |
Premera BCBS
| Facility | $59.91 | $59.91 | $67.95 | |
Premera BCBS
| Professional | $55.05 | $67.95 | $140.13 | |
Providence
| Facility | $17.53 | $17.53 | $46.17 | |
Providence
| Professional | $36.61 | $55.27 | $81.55 | |
United
| Professional | $33.63 | $34.72 | $86.79 |