| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.91 | $291.30 | $1,108.00 | |
Cigna
| Professional | $198.79 | $198.79 | $198.79 | |
Kaiser Permanente
| Professional | $456.30 | $526.38 | $618.07 | |
Moda Health
| Professional | $378.12 | $464.52 | $712.65 | |
Providence
| Professional | $198.79 | $511.20 | $697.28 | |
Regence BlueShield
| Professional | $432.63 | $563.67 | $664.20 | |
United
| Professional | $315.69 | $328.86 | $746.49 |