| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $281.84 | $512.86 | $549.54 |
Kaiser Permanente
| Professional | 26 | $223.87 | $467.74 | $562.34 |
Pacific Source
| Facility | 26 | $363.08 | $426.58 | $446.68 |
Regence BlueShield
| Facility | 26 | $8,317.64 | $8,317.64 | $8,317.64 |