| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.37 | $23.99 | $87.10 | |
Aetna
| Professional | $2.29 | $4.47 | $13.49 | |
Cigna
| Facility | $5.62 | $9.12 | $10.00 | |
Cigna
| Professional | $1.62 | $3.47 | $6.46 | |
Kaiser Permanente
| Professional | $3.47 | $7.24 | $8.51 | |
Moda Health
| Facility | $3.47 | $4.27 | $56.23 | |
Moda Health
| Professional | $3.09 | $4.17 | $7.24 | |
Pacific Source
| Facility | $3.47 | $3.47 | $6.61 | |
Providence
| Facility | $3.16 | $4.79 | $10.23 | |
Providence
| Professional | $3.16 | $3.89 | $79.43 | |
Regence BlueShield
| Facility | $5.25 | $10.47 | $14.45 | |
Regence BlueShield
| Professional | $2.63 | $3.16 | $4.17 | |
United
| Facility | $4.17 | $4.17 | $5.62 | |
United
| Professional | $2.09 | $2.09 | $4.17 |