| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $53.29 | $67.68 | $113.28 | |
Kaiser Permanente
| Professional | $32.29 | $38.00 | $801.00 | |
Lucent Health
| Facility | $55.00 | $1,974.91 | $1,974.91 | |
Lucent Health
| Professional | $196.00 | $196.00 | $196.00 | |
Providence
| Facility | $39.54 | $57.92 | $74.78 | |
Providence
| Professional | $58.51 | $58.51 | $58.51 |