| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $79.43 | $104.71 | $158.49 | |
Kaiser Permanente
| Professional | $45.71 | $630.96 | $1,698.24 | |
Lucent Health
| Facility | $338.84 | $338.84 | $338.84 | |
Lucent Health
| Professional | $309.03 | $309.03 | $309.03 | |
Providence
| Facility | $37.15 | $79.43 | $117.49 | |
Providence
| Professional | $85.11 | $85.11 | $85.11 |