| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $870.96 | $6,606.93 | |
Aetna
| Professional | $181.97 | $457.09 | $2,187.76 | |
Cigna
| Professional | $269.15 | $478.63 | $1,096.48 | |
Kaiser Permanente
| Professional | $275.42 | $398.11 | $977.24 | |
Moda Health
| Facility | $186.21 | $436.52 | $977.24 | |
Moda Health
| Professional | $275.42 | $549.54 | $977.24 | |
Pacific Source
| Facility | $537.03 | $741.31 | $831.76 | |
Providence
| Facility | $208.93 | $457.09 | $851.14 | |
Providence
| Professional | $79.43 | $467.74 | $1,023.29 | |
Regence BlueShield
| Professional | $363.08 | $562.34 | $1,047.13 | |
United
| Facility | $389.05 | $4,073.80 | $6,165.95 | |
United
| Professional | $275.42 | $489.78 | $977.24 |