| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $72.44 | $6,606.93 | |
Aetna
| Professional | $20.89 | $30.20 | $69.18 | |
Cigna
| Professional | $30.90 | $51.29 | $81.28 | |
Kaiser Permanente
| Professional | $34.67 | $52.48 | $77.62 | |
Moda Health
| Facility | $25.12 | $41.69 | $83.18 | |
Moda Health
| Professional | $37.15 | $57.54 | $81.28 | |
Pacific Source
| Facility | $47.86 | $64.57 | $66.07 | |
Providence
| Facility | $26.30 | $45.71 | $69.18 | |
Providence
| Professional | $40.74 | $63.10 | $81.28 | |
Regence BlueShield
| Professional | $45.71 | $61.66 | $83.18 | |
United
| Facility | $389.05 | $4,073.80 | $6,165.95 | |
United
| Professional | $35.48 | $53.70 | $83.18 |