| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.72 | $0.73 | $6.20 | |
Cigna
| Professional | $8.16 | $8.16 | $8.16 | |
Moda Health
| Facility | $0.73 | $1.04 | $5.39 | |
Pacific Source
| Facility | $2.29 | $2.29 | $79,999.20 | |
Providence
| Facility | $1.04 | $8.23 | $20.04 | |
Providence
| Professional | $8.16 | $8.46 | $8.61 | |
Regence BlueShield
| Facility | $1.00 | $1.00 | $1.00 |