| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $539.94 | $539.94 | $592.24 |
Kaiser Permanente
| Professional | 26 | $434.22 | $512.28 | $614.59 |
Pacific Source
| Facility | 26 | $369.46 | $469.24 | $501.16 |
Regence BlueShield
| Facility | 26 | $3,064.39 | $3,064.39 | $3,064.39 |