| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.44 | $30.63 | $156.01 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $25.99 | $35.60 | |
Kaiser Permanente
| Professional | $37.86 | $102.99 | $125.88 | |
Moda Health
| Facility | $39.34 | $54.08 | $59.49 | |
Moda Health
| Professional | $48.67 | $54.08 | $64.90 | |
Pacific Source
| Facility | $52.81 | $54.08 | $62.19 | |
Providence
| Facility | $35.65 | $47.35 | $54.31 | |
Providence
| Professional | $25.99 | $47.35 | $59.49 | |
Regence BlueShield
| Facility | $45.05 | $89.92 | $189.71 | |
Regence BlueShield
| Professional | $46.51 | $59.49 | $59.49 | |
United
| Professional | $23.52 | $24.28 | $46.32 |