| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.13 | $18.20 | $36.31 | |
Cigna
| Professional | $18.20 | $30.90 | $47.86 | |
Kaiser Permanente
| Professional | $30.20 | $36.31 | $43.65 | |
Moda Health
| Professional | $21.38 | $31.62 | $41.69 | |
Pacific Source
| Professional | $10.00 | $15.85 | $17.78 | |
Providence
| Professional | $20.89 | $32.36 | $43.65 | |
Regence BlueShield
| Professional | $19.95 | $32.36 | $42.66 | |
United
| Professional | $20.89 | $32.36 | $45.71 |