| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $417.78 | $1,032.39 | $7,920.26 | |
Aetna
| Professional | $184.97 | $394.16 | $1,084.14 | |
Cigna
| Professional | $305.63 | $551.16 | $1,126.33 | |
Kaiser Permanente
| Professional | $337.45 | $446.74 | $968.27 | |
Moda Health
| Facility | $250.14 | $535.67 | $939.56 | |
Moda Health
| Professional | $310.69 | $599.45 | $861.48 | |
Pacific Source
| Facility | $389.94 | $717.22 | $831.47 | |
Providence
| Facility | $259.11 | $554.55 | $1,058.90 | |
Providence
| Professional | $349.25 | $565.13 | $1,043.49 | |
Regence BlueShield
| Professional | $362.54 | $596.85 | $1,169.21 | |
United
| Facility | $376.00 | $3,290.00 | $6,216.00 | |
United
| Professional | $531.10 | $745.79 | $1,167.96 |