| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.96 | $50.97 | $312.00 | |
Cigna
| Professional | $51.40 | $53.74 | $57.02 | |
Kaiser Permanente
| Professional | $19.11 | $42.55 | $49.50 | |
Moda Health
| Professional | $32.03 | $36.57 | $63.66 | |
Providence
| Professional | $26.84 | $41.16 | $56.12 | |
Regence BlueShield
| Professional | $53.68 | $53.68 | $53.68 | |
United
| Professional | $29.76 | $38.68 | $54.28 |