| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.73 | $24.67 | $42.75 | |
Aetna
| Professional | $13.49 | $17.41 | $21.45 | |
Cigna
| Facility | $23.81 | $23.81 | $23.81 | |
Cigna
| Professional | $21.75 | $45.61 | $70.58 | |
Kaiser Permanente
| Professional | $29.63 | $41.23 | $53.03 | |
Moda Health
| Facility | $13.91 | $20.05 | $42.42 | |
Moda Health
| Professional | $23.18 | $38.29 | $62.88 | |
Pacific Source
| Facility | $26.68 | $42.21 | $43.55 | |
Providence
| Facility | $14.47 | $20.05 | $43.13 | |
Providence
| Professional | $21.12 | $36.54 | $57.34 | |
Regence BlueShield
| Professional | $22.75 | $26.03 | $54.12 | |
United
| Professional | $21.11 | $23.46 | $50.13 |