| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.09 | $50.92 | $85.23 | |
Kaiser Permanente
| Professional | $20.90 | $38.00 | $801.00 | |
Lucent Health
| Facility | $55.00 | $1,974.91 | $1,974.91 | |
Lucent Health
| Professional | $582.00 | $582.00 | $582.00 | |
Providence
| Facility | $36.49 | $49.40 | $64.05 | |
Providence
| Professional | $44.97 | $44.97 | $44.97 |