| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.36 | $18.63 | $42.34 | |
Cigna
| Professional | $19.09 | $31.99 | $48.36 | |
Kaiser Permanente
| Professional | $29.67 | $36.18 | $43.41 | |
Moda Health
| Professional | $22.19 | $29.00 | $47.16 | |
Pacific Source
| Professional | $11.73 | $14.31 | $16.75 | |
Providence
| Professional | $21.89 | $32.75 | $43.21 | |
Regence BlueShield
| Professional | $18.71 | $33.17 | $44.04 | |
United
| Professional | $21.26 | $32.99 | $47.54 |