| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.94 | $13.94 | $49.28 | |
Aetna
| Professional | $7.64 | $14.08 | $14.08 | |
Cigna
| Professional | $6.77 | $6.77 | $6.77 | |
Moda Health
| Facility | $20.13 | $20.13 | $20.13 | |
Moda Health
| Professional | $7.57 | $7.57 | $24.38 | |
Premera BCBS
| Facility | $11.16 | $11.16 | $17.53 | |
Providence
| Facility | $11.16 | $15.94 | $26.30 | |
Providence
| Professional | $6.77 | $6.77 | $8.21 | |
United
| Professional | $7.57 | $11.36 | $15.27 |