| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $604.00 | $641.00 | $705.00 | |
Asuris Northwest Health
| Facility | $650.00 | $9,269.00 | $10,000.00 | |
Cigna
| Facility | $740.00 | $1,600.00 | $16,131.00 | |
Regence BlueShield
| Facility | $650.00 | $650.00 | $2,025.00 | |
United
| Facility | $1,084.00 | $1,084.00 | $1,084.00 |