| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $64.57 | $85.11 | $128.82 | |
Kaiser Permanente
| Professional | $20.89 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $186.21 | $245.47 | $245.47 | |
Lucent Health
| Professional | $239.88 | $239.88 | $239.88 | |
Providence
| Facility | $45.71 | $66.07 | $97.72 | |
Providence
| Professional | $72.44 | $72.44 | $72.44 |