| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $74.09 | $94.10 | $157.51 | |
Kaiser Permanente
| Professional | $45.60 | $45.60 | $801.00 | |
Lucent Health
| Facility | $63.02 | $338.91 | $338.91 | |
Lucent Health
| Professional | $309.91 | $309.91 | $309.91 | |
Providence
| Facility | $53.39 | $81.63 | $103.24 | |
Providence
| Professional | $86.03 | $86.03 | $86.03 |