| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.62 | $46.77 | $316.23 | |
Cigna
| Professional | $38.90 | $54.95 | $58.88 | |
Kaiser Permanente
| Professional | $15.49 | $33.88 | $38.90 | |
Moda Health
| Professional | $23.44 | $36.31 | $87.10 | |
Providence
| Professional | $25.12 | $42.66 | $79.43 | |
United
| Professional | $25.12 | $38.02 | $48.98 |