| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $23.40 | $82.81 | |
Aetna
| Professional | CQ | $17.46 | $17.46 | $17.46 |
Cigna
| Professional | $27.33 | $57.21 | $90.00 | |
Kaiser Permanente
| Professional | $31.67 | $68.14 | $78.04 | |
Moda Health
| Professional | $33.33 | $48.14 | $69.94 | |
Providence
| Professional | $30.08 | $53.36 | $80.81 | |
Regence BlueShield
| Professional | $30.60 | $36.60 | $80.01 | |
United
| Professional | $26.51 | $29.95 | $70.22 |