| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.61 | $271.26 | $1,242.00 | |
Cigna
| Professional | $198.79 | $198.79 | $198.79 | |
Kaiser Permanente
| Professional | $456.30 | $526.38 | $618.07 | |
Moda Health
| Professional | $378.12 | $465.20 | $722.82 | |
Providence
| Professional | $198.79 | $548.17 | $707.23 | |
Regence BlueShield
| Professional | $434.91 | $564.50 | $673.67 | |
United
| Professional | $301.81 | $345.41 | $758.87 |