| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $11.74 | $12.32 | $14.76 | |
Kaiser Permanente
| Professional | $638.07 | $638.07 | $801.00 | |
Molina
| Professional | $50.00 | $60.00 | $85.00 | |
Providence
| Professional | $20.00 | $26.00 | $26.00 |