| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $45.17 | $57.36 | $96.02 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $1,619.00 | |
Lucent Health
| Facility | $69.90 | $243.60 | $243.60 | |
Lucent Health
| Professional | $197.00 | $197.00 | $197.00 | |
Providence
| Facility | $31.88 | $52.87 | $66.97 | |
Providence
| Professional | $54.15 | $54.15 | $54.15 |