| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $611.20 | $611.20 | $732.29 | |
Kaiser Permanente
| Professional | $170.00 | $170.00 | $178.00 | |
Moda Health
| Facility | $223.93 | $338.93 | $445.21 | |
Moda Health
| Professional | $344.84 | $344.84 | $344.84 | |
Providence
| Facility | $207.55 | $332.89 | $445.21 | |
Providence
| Professional | $344.84 | $344.84 | $344.84 |