| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.48 | $415.74 | $7,920.26 | |
Cigna
| Facility | $15.32 | $15.32 | $15.32 | |
Kaiser Permanente
| Professional | $24.11 | $28.87 | $32.51 | |
Moda Health
| Facility | $11.72 | $22.55 | $32.40 | |
Pacific Source
| Facility | $19.11 | $24.85 | $26.80 | |
Providence
| Facility | $15.32 | $29.64 | $38.79 |