| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $1,621.81 | $52,480.75 | |
Cigna
| Facility | $851.14 | $851.14 | $851.14 | |
Kaiser Permanente
| Professional | $354.81 | $467.74 | $588.84 | |
Moda Health
| Facility | $245.47 | $457.09 | $6,606.93 | |
Pacific Source
| Facility | $363.08 | $489.78 | $512.86 | |
Providence
| Facility | $234.42 | $346.74 | $602.56 | |
United
| Facility | $389.05 | $4,073.80 | $6,165.95 |