| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $38.06 | $48.34 | $80.91 | |
Kaiser Permanente
| Professional | $20.90 | $20.90 | $801.00 | |
Lucent Health
| Facility | $68.04 | $243.60 | $243.60 | |
Lucent Health
| Professional | $178.00 | $185.00 | $185.00 | |
Providence
| Facility | $32.36 | $46.65 | $57.71 | |
Providence
| Professional | $41.14 | $41.14 | $41.14 |