| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $39.59 | $50.27 | $84.15 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $1,619.00 | |
Lucent Health
| Facility | $70.95 | $103.41 | $103.41 | |
Lucent Health
| Professional | $161.00 | $161.76 | $161.76 | |
Providence
| Facility | $32.02 | $46.83 | $59.85 | |
Providence
| Professional | $43.51 | $43.51 | $43.51 |