| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $59.38 | $75.41 | $126.23 | |
Kaiser Permanente
| Professional | $52.00 | $52.00 | $801.00 | |
Lucent Health
| Facility | $102.11 | $268.57 | $268.57 | |
Lucent Health
| Professional | $242.00 | $242.00 | $242.00 | |
Providence
| Facility | $46.30 | $68.30 | $87.98 | |
Providence
| Professional | $67.98 | $67.98 | $67.98 |