| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.51 | $223.16 | $865.57 | |
Cigna
| Professional | $152.07 | $152.07 | $152.07 | |
Kaiser Permanente
| Professional | $348.94 | $402.52 | $472.65 | |
Moda Health
| Professional | $289.26 | $350.28 | $542.15 | |
Providence
| Professional | $152.07 | $389.33 | $528.19 | |
Regence BlueShield
| Professional | $324.89 | $428.30 | $503.12 | |
United
| Professional | $236.88 | $255.83 | $564.92 |