| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $52.78 | $67.03 | $112.20 | |
Kaiser Permanente
| Professional | $22.80 | $22.80 | $801.00 | |
Lucent Health
| Facility | $78.64 | $1,791.30 | $1,791.30 | |
Lucent Health
| Professional | $184.00 | $198.00 | $198.00 | |
Providence
| Facility | $34.70 | $53.27 | $69.30 | |
Providence
| Professional | $56.32 | $56.32 | $56.32 |