| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $3.24 | $3.24 | $3.24 | |
Moda Health
| Professional | $56.23 | $60.26 | $60.26 | |
Premera BCBS
| Facility | $346.74 | $346.74 | $346.74 | |
Providence
| Professional | $60.26 | $60.26 | $60.26 |