| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,458.94 | $3,458.94 | $4,144.20 | |
Kaiser Permanente
| Professional | $170.00 | $170.00 | $178.00 | |
Moda Health
| Professional | $2,367.16 | $2,367.16 | $2,367.16 | |
Pacific Source
| Facility | $1,303.79 | $1,719.25 | $1,843.48 |