| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.39 | $54.98 | $264.45 | |
Cigna
| Facility | $58.60 | $58.60 | $58.60 | |
Cigna
| Professional | $42.78 | $42.78 | $58.60 | |
Kaiser Permanente
| Professional | $64.16 | $177.54 | $231.59 | |
Moda Health
| Facility | $54.98 | $75.31 | $91.65 | |
Moda Health
| Professional | $68.14 | $86.15 | $96.23 | |
Pacific Source
| Facility | $72.75 | $91.65 | $100.82 | |
Pacific Source
| Professional | $91.65 | $91.65 | $100.82 | |
Providence
| Facility | $54.98 | $78.72 | $96.23 | |
Providence
| Professional | $42.78 | $80.25 | $100.82 | |
Regence BlueShield
| Facility | $76.36 | $152.41 | $321.52 | |
Regence BlueShield
| Professional | $78.81 | $100.82 | $100.82 | |
United
| Professional | $40.00 | $41.86 | $81.95 |