| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $347.08 | $347.08 | $380.38 |
Kaiser Permanente
| Professional | 26 | $246.84 | $349.37 | $397.72 |
Pacific Source
| Facility | 26 | $231.11 | $300.68 | $321.60 |
Regence BlueShield
| Facility | 26 | $17,910.32 | $17,910.32 | $17,910.32 |