| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $52.48 | $60.26 | |
Aetna
| Professional | $13.49 | $18.20 | $36.31 | |
Cigna
| Professional | $19.95 | $23.99 | $61.66 | |
Kaiser Permanente
| Professional | $28.84 | $39.81 | $53.70 | |
Moda Health
| Facility | $14.45 | $20.89 | $36.31 | |
Moda Health
| Professional | $18.62 | $40.74 | $56.23 | |
Pacific Source
| Facility | $30.20 | $44.67 | $45.71 | |
Providence
| Facility | $14.45 | $19.95 | $36.31 | |
Providence
| Professional | $22.39 | $42.66 | $70.79 | |
Regence BlueShield
| Professional | $24.55 | $27.54 | $54.95 | |
United
| Professional | $21.88 | $23.99 | $47.86 |