| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $517.79 | $7,920.26 | $20,400.00 | |
Cigna
| Facility | $842.00 | $842.00 | $842.00 | |
Kaiser Permanente
| Professional | $430.20 | $510.11 | $604.54 | |
Moda Health
| Facility | $315.94 | $446.40 | $601.83 | |
Pacific Source
| Facility | $351.75 | $459.07 | $488.24 | |
Providence
| Facility | $315.94 | $462.43 | $620.41 | |
United
| Facility | $376.00 | $4,113.00 | $6,216.00 |