| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $59.38 | $75.41 | $126.23 | |
Kaiser Permanente
| Professional | $26.60 | $52.00 | $801.00 | |
Lucent Health
| Facility | $93.01 | $268.57 | $268.57 | |
Lucent Health
| Professional | $264.00 | $264.00 | $264.00 | |
Providence
| Facility | $48.28 | $71.64 | $91.73 | |
Providence
| Professional | $67.47 | $67.47 | $67.47 |