| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $812.83 | $7,943.28 | |
Cigna
| Facility | $851.14 | $851.14 | $851.14 | |
Kaiser Permanente
| Professional | $467.74 | $616.60 | $758.58 | |
Moda Health
| Facility | $323.59 | $467.74 | $4,677.35 | |
Pacific Source
| Facility | $549.54 | $630.96 | $660.69 | |
Providence
| Facility | $316.23 | $489.78 | $776.25 | |
United
| Facility | $389.05 | $4,073.80 | $6,165.95 |