| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $48.72 | $61.87 | $103.57 | |
Kaiser Permanente
| Professional | $22.80 | $52.00 | $801.00 | |
Lucent Health
| Facility | $85.00 | $1,974.91 | $1,974.91 | |
Lucent Health
| Professional | $236.00 | $236.59 | $236.59 | |
Providence
| Facility | $43.69 | $62.58 | $78.88 | |
Providence
| Professional | $55.40 | $55.40 | $55.40 |