| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.47 | $41.25 | $69.05 | |
Kaiser Permanente
| Professional | $14.44 | $14.44 | $801.00 | |
Lucent Health
| Facility | $63.29 | $1,974.91 | $1,974.91 | |
Lucent Health
| Professional | $139.00 | $165.00 | $165.00 | |
Providence
| Facility | $28.15 | $38.61 | $50.11 | |
Providence
| Professional | $33.94 | $33.94 | $33.94 |