| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.34 | $187.60 | $225.51 | |
Aetna
| Professional | $71.51 | $93.87 | $223.38 | |
Cigna
| Professional | $113.05 | $198.90 | $273.01 | |
Kaiser Permanente
| Professional | $120.78 | $177.93 | $237.24 | |
Moda Health
| Facility | $79.59 | $125.34 | $225.72 | |
Moda Health
| Professional | $122.76 | $163.85 | $268.44 | |
Pacific Source
| Facility | $132.30 | $193.84 | $203.01 | |
Providence
| Facility | $79.45 | $120.99 | $225.72 | |
Providence
| Professional | $90.75 | $160.63 | $240.00 | |
Regence BlueShield
| Professional | $124.38 | $166.17 | $245.03 | |
United
| Professional | $142.09 | $204.25 | $318.10 |