| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $2.00 | |
Cigna
| Professional | $0.52 | $0.52 | $0.52 | |
Moda Health
| Facility | $0.41 | $0.87 | $1.95 | |
Moda Health
| Professional | $1.00 | $1.00 | $2.00 | |
Pacific Source
| Facility | $0.79 | $0.79 | $0.79 | |
Providence
| Facility | $0.41 | $1.66 | $3.98 | |
Providence
| Professional | $0.52 | $0.52 | $79.43 | |
Regence BlueShield
| Facility | $1.00 | $1.00 | $1.00 |