| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.05 | $163.38 | $183.50 | |
Aetna
| Professional | $64.37 | $77.04 | $115.56 | |
Cigna
| Professional | $95.10 | $171.18 | $221.16 | |
Kaiser Permanente
| Professional | $102.57 | $154.63 | $195.53 | |
Moda Health
| Facility | $67.20 | $90.05 | $183.43 | |
Moda Health
| Professional | $90.57 | $144.26 | $236.59 | |
Pacific Source
| Facility | $98.26 | $148.07 | $166.16 | |
Providence
| Facility | $67.08 | $90.05 | $183.43 | |
Providence
| Professional | $73.14 | $138.88 | $204.00 | |
Regence BlueShield
| Professional | $107.81 | $133.38 | $203.73 | |
United
| Professional | $115.68 | $161.47 | $252.96 |