| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.72 | $0.73 | $4.01 | |
Cigna
| Professional | $1.02 | $1.02 | $1.02 | |
Moda Health
| Facility | $0.73 | $1.04 | $4.26 | |
Pacific Source
| Facility | $1.20 | $2.29 | $79,999.20 | |
Providence
| Facility | $1.04 | $6.46 | $15.30 | |
Providence
| Professional | $1.02 | $6.46 | $6.89 | |
Regence BlueShield
| Facility | $1.00 | $1.00 | $1.00 |