| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.52 | $35.47 | $63.71 | |
Cigna
| Professional | $18.92 | $36.29 | $54.74 | |
Kaiser Permanente
| Professional | $31.95 | $66.18 | $94.33 | |
Kaiser Permanente
| Professional | 26 | $25.05 | $51.89 | $73.95 |
Moda Health
| Professional | $46.53 | $58.55 | $106.11 | |
Pacific Source
| Facility | 26 | $32.15 | $51.59 | $55.38 |
Providence
| Professional | $36.29 | $66.00 | $96.03 | |
Regence BlueShield
| Professional | $60.45 | $69.53 | $107.65 | |
United
| Professional | $21.65 | $25.87 | $72.18 |