| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $90.84 | $115.37 | $193.12 | |
Kaiser Permanente
| Professional | $40.95 | $40.95 | $801.00 | |
Lucent Health
| Facility | $114.59 | $442.12 | $442.12 | |
Lucent Health
| Professional | $278.00 | $303.05 | $303.05 | |
Providence
| Facility | $52.60 | $80.00 | $112.25 | |
Providence
| Professional | $102.08 | $102.08 | $102.08 |