| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $118.25 | $150.16 | $251.38 | |
Kaiser Permanente
| Professional | $43.70 | $43.70 | $801.00 | |
Lucent Health
| Facility | $177.86 | $359.47 | $359.47 | |
Lucent Health
| Professional | $417.00 | $418.15 | $418.15 | |
Providence
| Facility | $82.75 | $120.00 | $156.36 | |
Providence
| Professional | $131.41 | $131.41 | $131.41 |