| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $104.71 | $269.15 | |
Cigna
| Professional | $66.07 | $128.82 | $263.03 | |
Kaiser Permanente
| Professional | $81.28 | $128.82 | $251.19 | |
Moda Health
| Professional | $79.43 | $141.25 | $269.15 | |
Providence
| Professional | $79.43 | $128.82 | $263.03 | |
Regence BlueShield
| Professional | $97.72 | $147.91 | $263.03 | |
United
| Professional | $77.62 | $131.83 | $239.88 |