| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $442.09 | $4,684.68 | $8,728.00 | |
Kaiser Permanente
| Professional | $378.13 | $555.54 | $3,054.15 | |
Moda Health
| Facility | $270.22 | $1,158.36 | $5,037.89 | |
Pacific Source
| Facility | $418.75 | $2,399.36 | $4,229.39 | |
Providence
| Facility | $270.22 | $2,343.21 | $5,037.89 | |
United
| Facility | $3,028.00 | $18,628.00 | $26,255.00 |