| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $426.58 | $7,943.28 | |
Cigna
| Facility | $851.14 | $851.14 | $851.14 | |
Kaiser Permanente
| Professional | $245.47 | $323.59 | $398.11 | |
Moda Health
| Facility | $165.96 | $275.42 | $426.58 | |
Pacific Source
| Facility | $288.40 | $331.13 | $346.74 | |
Providence
| Facility | $173.78 | $281.84 | $416.87 | |
Regence BlueShield
| Facility | $912.01 | $912.01 | $912.01 | |
United
| Facility | $2,454.71 | $10,232.93 | $37,153.52 |