| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $104.71 | $169.82 | |
Cigna
| Professional | $112.20 | $194.98 | $302.00 | |
Kaiser Permanente
| Professional | $144.54 | $199.53 | $257.04 | |
Moda Health
| Professional | $109.65 | $190.55 | $245.47 | |
Providence
| Professional | $79.43 | $154.88 | $263.03 | |
Regence BlueShield
| Professional | $141.25 | $204.17 | $263.03 | |
United
| Professional | $117.49 | $208.93 | $295.12 |