| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $125.89 | $169.82 | $257.04 | |
Kaiser Permanente
| Professional | $43.65 | $630.96 | $1,698.24 | |
Lucent Health
| Facility | $363.08 | $363.08 | $363.08 | |
Lucent Health
| Professional | $416.87 | $416.87 | $416.87 | |
Providence
| Facility | $85.11 | $123.03 | $181.97 | |
Providence
| Professional | $131.83 | $131.83 | $131.83 |