| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $55.83 | $70.90 | $118.68 | |
Kaiser Permanente
| Professional | $29.45 | $52.00 | $801.00 | |
Lucent Health
| Facility | $65.00 | $1,791.30 | $1,791.30 | |
Lucent Health
| Professional | $237.00 | $237.00 | $237.00 | |
Providence
| Facility | $41.29 | $60.37 | $80.56 | |
Providence
| Professional | $58.96 | $58.96 | $58.96 |