| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.12 | $2.68 | $2.74 | |
Cigna
| Professional | $1.74 | $1.74 | $1.74 | |
Moda Health
| Facility | $2.68 | $3.56 | $5.76 | |
Pacific Source
| Facility | $2.04 | $2.29 | $79,999.20 | |
Providence
| Facility | $2.58 | $3.56 | $7.07 | |
Providence
| Professional | $1.74 | $2.99 | $3.09 | |
Regence BlueShield
| Facility | $1.00 | $1.00 | $1.00 |