| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.00 | $43.18 | $72.28 | |
Kaiser Permanente
| Professional | $17.48 | $38.00 | $801.00 | |
Lucent Health
| Facility | $67.79 | $1,974.91 | $1,974.91 | |
Lucent Health
| Professional | $141.00 | $176.00 | $176.00 | |
Providence
| Facility | $29.86 | $41.39 | $52.45 | |
Providence
| Professional | $36.01 | $36.01 | $36.01 |