| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $3,548.13 | $18,620.87 | |
Cigna
| Facility | $707.95 | $758.58 | $870.96 | |
Kaiser Permanente
| Facility | $588.84 | $812.83 | $1,412.54 | |
Pacific Source
| Facility | $954.99 | $1,096.48 | $1,174.90 | |
Premera BCBS
| Facility | $794.33 | $794.33 | $812.83 | |
United
| Facility | $158.49 | $549.54 | $5,754.40 |