| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $168.15 | $253.62 | $1,161.21 | |
Cigna
| Professional | $194.32 | $194.32 | $194.32 | |
Kaiser Permanente
| Professional | $446.29 | $514.79 | $604.51 | |
Moda Health
| Professional | $369.64 | $466.57 | $723.84 | |
Providence
| Professional | $194.32 | $541.44 | $708.23 | |
Regence BlueShield
| Professional | $438.59 | $566.15 | $674.62 | |
United
| Professional | $317.93 | $343.36 | $783.05 |