| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.53 | $265.27 | $1,200.00 | |
Cigna
| Professional | $199.09 | $199.09 | $199.09 | |
Kaiser Permanente
| Professional | $456.99 | $527.16 | $619.00 | |
Moda Health
| Professional | $378.70 | $445.58 | $714.69 | |
Providence
| Professional | $199.09 | $510.86 | $699.27 | |
Regence BlueShield
| Professional | $400.71 | $565.32 | $666.09 | |
United
| Professional | $280.31 | $328.41 | $747.93 |