| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $31.82 | $33.39 | $40.01 | |
Kaiser Permanente
| Professional | $638.07 | $638.07 | $801.00 | |
Molina
| Professional | $50.00 | $60.00 | $85.00 | |
Providence
| Professional | $30.50 | $59.00 | $65.00 |