| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $247.84 | $382.69 | $1,962.56 | |
Cigna
| Facility | $347.46 | $347.46 | $347.46 | |
Cigna
| Professional | $253.65 | $253.65 | $347.46 | |
Kaiser Permanente
| Professional | $446.58 | $1,093.73 | $1,426.49 | |
Moda Health
| Facility | $382.69 | $524.29 | $637.97 | |
Moda Health
| Professional | $474.36 | $599.69 | $637.97 | |
Pacific Source
| Facility | $504.31 | $568.04 | $637.97 | |
Pacific Source
| Professional | $516.41 | $574.16 | $637.97 | |
Providence
| Facility | $344.42 | $543.83 | $669.87 | |
Providence
| Professional | $253.65 | $558.63 | $701.77 | |
Regence BlueShield
| Facility | $531.52 | $1,060.92 | $2,238.21 | |
Regence BlueShield
| Professional | $548.65 | $701.77 | $701.77 | |
United
| Professional | $242.50 | $257.63 | $491.53 |