| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $58.88 | $79.43 | $120.23 | |
Kaiser Permanente
| Professional | $29.51 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $173.78 | $1,778.28 | $1,778.28 | |
Lucent Health
| Professional | $234.42 | $234.42 | $234.42 | |
Providence
| Facility | $44.67 | $61.66 | $89.13 | |
Providence
| Professional | $58.88 | $58.88 | $58.88 |