| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.48 | $53.14 | $405.00 | |
Cigna
| Professional | $38.93 | $55.14 | $59.10 | |
Kaiser Permanente
| Professional | $13.97 | $31.11 | $36.43 | |
Moda Health
| Professional | $23.48 | $33.65 | $46.67 | |
Providence
| Professional | $22.33 | $36.79 | $49.50 | |
Regence BlueShield
| Professional | $40.47 | $40.47 | $40.47 | |
United
| Professional | $25.30 | $37.79 | $48.95 |