| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $150.63 | $180.47 | $302.08 | |
Kaiser Permanente
| Professional | $59.87 | $638.07 | $801.00 | |
Lucent Health
| Facility | $96.66 | $348.00 | $348.00 | |
Lucent Health
| Professional | $405.69 | $405.69 | $405.69 | |
Providence
| Facility | $79.19 | $118.75 | $153.97 | |
Providence
| Professional | $140.53 | $140.53 | $140.53 |