| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.50 | $39.81 | $85.11 | |
Aetna
| Professional | $2.34 | $2.95 | $19.95 | |
Cigna
| Facility | $5.13 | $8.32 | $11.48 | |
Cigna
| Professional | $2.14 | $3.72 | $6.31 | |
Kaiser Permanente
| Professional | $3.16 | $6.46 | $7.76 | |
Moda Health
| Facility | $3.16 | $15.49 | $79.43 | |
Moda Health
| Professional | $2.82 | $3.72 | $6.31 | |
Pacific Source
| Facility | $3.16 | $3.16 | $7.08 | |
Providence
| Facility | $3.09 | $4.57 | $10.72 | |
Providence
| Professional | $3.16 | $3.98 | $79.43 | |
Regence BlueShield
| Facility | $4.79 | $9.55 | $13.18 | |
Regence BlueShield
| Professional | $2.40 | $3.16 | $4.07 | |
United
| Facility | $3.80 | $3.80 | $5.13 | |
United
| Professional | $1.91 | $2.57 | $4.47 |