| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,093.00 | $1,685.00 | $2,563.00 | |
Asuris Northwest Health
| Facility | $236.64 | $9,269.00 | $10,000.00 | |
Cigna
| Facility | $250.00 | $340.00 | $1,600.00 | |
Pacific Source
| Facility | $1,800.00 | $1,800.00 | $2,200.00 | |
Regence BlueShield
| Facility | $650.00 | $650.00 | $650.00 | |
United
| Facility | $1,084.00 | $1,134.00 | $1,467.00 |