| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.13 | $67.61 | $141.25 | |
Cigna
| Professional | $20.89 | $74.13 | $218.78 | |
Kaiser Permanente
| Professional | $25.70 | $74.13 | $190.55 | |
Moda Health
| Professional | $23.99 | $120.23 | $181.97 | |
Providence
| Professional | $29.51 | $79.43 | $204.17 | |
Regence BlueShield
| Professional | $29.51 | $53.70 | $199.53 | |
United
| Professional | $23.99 | $70.79 | $199.53 |