| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $98.96 | $125.68 | $210.38 | |
Kaiser Permanente
| Professional | $16.14 | $16.14 | $801.00 | |
Lucent Health
| Facility | $70.67 | $332.35 | $332.35 | |
Lucent Health
| Professional | $272.41 | $272.41 | $272.41 | |
Providence
| Facility | $31.25 | $42.03 | $91.65 | |
Providence
| Professional | $95.47 | $95.47 | $95.47 |