| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.21 | $249.38 | $1,026.69 | |
Cigna
| Professional | $285.89 | $394.18 | $501.51 | |
Kaiser Permanente
| Professional | $168.67 | $378.33 | $402.35 | |
Moda Health
| Professional | $273.39 | $319.47 | $508.86 | |
Providence
| Professional | $261.10 | $397.44 | $462.64 | |
Regence BlueShield
| Professional | $314.37 | $397.41 | $472.80 | |
United
| Professional | $154.30 | $312.01 | $553.90 |