| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $60.39 | $76.70 | $128.38 | |
Kaiser Permanente
| Professional | $20.90 | $52.00 | $801.00 | |
Lucent Health
| Facility | $92.87 | $243.60 | $243.60 | |
Lucent Health
| Professional | $240.00 | $240.00 | $240.00 | |
Providence
| Facility | $42.12 | $64.01 | $82.81 | |
Providence
| Professional | $71.92 | $71.92 | $71.92 |