| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $182.41 | $230.99 | $361.99 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $135.97 | $1,300.00 | |
Lucent Health
| Professional | $322.00 | $491.77 | $491.77 | |
Providence
| Facility | $57.33 | $88.20 | $144.35 |