| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.69 | $4,684.68 | $8,728.00 | |
Aetna
| Professional | $20.60 | $29.73 | $71.89 | |
Cigna
| Professional | $37.47 | $57.55 | $85.08 | |
Kaiser Permanente
| Professional | $39.38 | $57.28 | $75.40 | |
Moda Health
| Facility | $30.82 | $45.95 | $83.00 | |
Moda Health
| Professional | $39.50 | $52.31 | $78.52 | |
Pacific Source
| Facility | $39.40 | $60.90 | $66.33 | |
Providence
| Facility | $30.82 | $46.22 | $83.24 | |
Providence
| Professional | $46.50 | $61.60 | $82.06 | |
Regence BlueShield
| Professional | $46.08 | $63.57 | $91.91 | |
United
| Facility | $376.00 | $3,290.00 | $6,216.00 | |
United
| Professional | $48.02 | $65.66 | $103.20 |