| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $251.19 | $251.19 | |
Aetna
| Professional | $239.88 | $281.84 | $407.38 | |
Cigna
| Professional | $34.67 | $588.84 | $707.95 | |
Kaiser Permanente
| Professional | $169.82 | $169.82 | $177.83 | |
Moda Health
| Facility | $44.67 | $251.19 | $426.58 | |
Moda Health
| Professional | $239.88 | $281.84 | $436.52 | |
Providence
| Facility | $67.61 | $208.93 | $416.87 | |
Providence
| Professional | $43.65 | $45.71 | $60.26 | |
United
| Facility | $33.11 | $33.11 | $1,202.26 | |
United
| Professional | $15.49 | $30.90 | $46.77 |