| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $12.02 | $12.88 | |
Cigna
| Professional | $5.89 | $5.89 | $5.89 | |
Moda Health
| Facility | $12.02 | $12.30 | $13.18 | |
Moda Health
| Professional | $10.96 | $12.88 | $14.13 | |
Premera BCBS
| Professional | $10,000.00 | $10,000.00 | $10,000.00 | |
Providence
| Facility | $10.00 | $12.88 | $16.60 | |
Providence
| Professional | $6.03 | $6.03 | $79.43 | |
United
| Professional | $4.79 | $6.31 | $27.54 |