| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $37.04 | $47.05 | $78.76 | |
Kaiser Permanente
| Professional | $17.48 | $17.48 | $801.00 | |
Lucent Health
| Facility | $60.75 | $1,791.30 | $1,791.30 | |
Lucent Health
| Professional | $148.00 | $163.00 | $163.00 | |
Providence
| Facility | $28.07 | $39.72 | $50.95 | |
Providence
| Professional | $38.54 | $38.54 | $38.54 |