| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.60 | $122.10 | $166.55 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Kaiser Permanente
| Professional | $167.69 | $235.31 | $291.88 | |
Moda Health
| Professional | $133.32 | $210.88 | $390.45 | |
Providence
| Professional | $109.51 | $156.88 | $292.80 | |
Regence BlueShield
| Professional | $183.08 | $208.62 | $322.08 | |
United
| Professional | $160.47 | $246.56 | $379.18 |