| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $193.04 | $309.88 | $438.72 | |
Kaiser Permanente
| Professional | $142.05 | $170.00 | $193.15 | |
Moda Health
| Professional | $50.77 | $170.65 | $221.38 | |
Pacific Source
| Facility | $36.90 | $91.39 | $182.24 | |
Providence
| Facility | $212.80 | $229.97 | $229.97 | |
Providence
| Professional | $51.29 | $151.32 | $213.70 |