| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $39.59 | $50.27 | $84.15 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $90.00 | $232.00 | |
Lucent Health
| Professional | $127.82 | $128.36 | $128.36 | |
Providence
| Facility | $25.01 | $46.44 | $60.07 | |
Providence
| Professional | $39.61 | $39.61 | $39.61 |