| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $164.94 | $209.47 | $350.63 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $1,619.00 | |
Lucent Health
| Facility | $121.15 | $384.75 | $384.75 | |
Lucent Health
| Professional | $489.34 | $511.57 | $511.57 | |
Providence
| Facility | $73.50 | $156.58 | $223.37 | |
Providence
| Professional | $158.88 | $158.88 | $158.88 |