| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.13 | $115.68 | $354.23 | |
Cigna
| Professional | $194.03 | $200.87 | $228.64 | |
Kaiser Permanente
| Professional | $203.48 | $236.61 | $287.48 | |
Moda Health
| Facility | $75.31 | $125.34 | $216.81 | |
Moda Health
| Professional | $129.54 | $172.26 | $229.73 | |
Pacific Source
| Facility | $127.64 | $190.61 | $203.32 | |
Providence
| Facility | $75.31 | $125.34 | $216.81 | |
Providence
| Professional | $142.59 | $186.48 | $228.04 | |
Regence BlueShield
| Facility | $181.64 | $181.64 | $213.66 | |
Regence BlueShield
| Professional | $138.94 | $166.17 | $272.02 | |
United
| Professional | $106.83 | $204.25 | $318.10 |