| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.30 | $0.32 | $0.38 | |
Kaiser Permanente
| Professional | $170.00 | $170.00 | $178.00 | |
Pacific Source
| Facility | $0.37 | $79,999.20 | $79,999.20 | |
Providence
| Facility | $0.28 | $0.28 | $0.30 | |
Providence
| Professional | $0.26 | $0.28 | $0.31 |