| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.28 | $76.23 | $275.00 | |
Cigna
| Professional | $93.65 | $140.82 | $151.43 | |
Kaiser Permanente
| Professional | $33.35 | $74.26 | $87.47 | |
Moda Health
| Professional | $56.03 | $86.19 | $111.39 | |
Providence
| Professional | $52.55 | $87.45 | $123.00 | |
Regence BlueShield
| Professional | $97.68 | $97.68 | $97.68 | |
United
| Professional | $61.05 | $92.13 | $118.08 |