| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $17,378.01 | $89,125.09 | |
Kaiser Permanente
| Facility | $1,698.24 | $2,454.71 | $109,647.82 | |
Pacific Source
| Facility | $1,621.81 | $1,862.09 | $2,187.76 | |
Premera BCBS
| Facility | $1,348.96 | $1,348.96 | $1,479.11 | |
Regence BlueShield
| Facility | $48,977.88 | $67,608.30 | $128,824.96 | |
United
| Facility | $11,748.98 | $91,201.08 | $154,881.66 |