| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1.00 | $1.00 | $1.00 | |
Kaiser Permanente
| Professional | $169.82 | $169.82 | $177.83 | |
Moda Health
| Facility | $0.25 | $0.25 | $0.47 | |
Providence
| Facility | $0.25 | $0.25 | $0.47 | |
Providence
| Professional | $0.72 | $0.72 | $79.43 |