| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.45 | $23.99 | $97.72 | |
Aetna
| Professional | CQ | $17.38 | $17.38 | $25.70 |
Cigna
| Professional | $21.88 | $32.36 | $79.43 | |
Kaiser Permanente
| Professional | $31.62 | $61.66 | $75.86 | |
Moda Health
| Professional | $30.90 | $48.98 | $74.13 | |
Moda Health
| Professional | CQ | $17.38 | $17.38 | $17.38 |
Providence
| Professional | $31.62 | $56.23 | $79.43 | |
Regence BlueShield
| Professional | $30.20 | $37.15 | $79.43 | |
United
| Professional | $26.30 | $30.20 | $63.10 |