| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $10,126.00 | $12,770.00 | |
Asuris Northwest Health
| Facility | $650.00 | $10,000.00 | $10,000.00 | |
Cigna
| Facility | $1,850.00 | $3,744.00 | $5,893.00 | |
Pacific Source
| Facility | $10,145.00 | $10,145.00 | $10,145.00 | |
Regence BlueShield
| Facility | $650.00 | $650.00 | $650.00 | |
United
| Facility | $2,540.00 | $3,544.00 | $5,040.00 |