| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.72 | $35.75 | $72.31 |
Cigna
| Facility | 26 | $16.57 | $16.57 | $16.57 |
Kaiser Permanente
| Professional | 26 | $27.39 | $32.74 | $36.86 |
Pacific Source
| Facility | 26 | $21.07 | $28.14 | $28.81 |
Providence
| Facility | 26 | $16.57 | $16.57 | $16.57 |
Regence BlueShield
| Facility | 26 | $782.93 | $782.93 | $782.93 |