| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $10,232.93 | $28,183.83 | |
Cigna
| Facility | $32,359.37 | $32,359.37 | $32,359.37 | |
Kaiser Permanente
| Facility | $741.31 | $1,174.90 | $79,432.82 | |
Pacific Source
| Facility | $776.25 | $891.25 | $954.99 | |
Premera BCBS
| Facility | $645.65 | $645.65 | $645.65 | |
Regence BlueShield
| Facility | $40,738.03 | $54,954.09 | $104,712.85 | |
United
| Facility | $19,498.45 | $67,608.30 | $114,815.36 |