| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $138.04 | $138.04 | $173.78 | |
Kaiser Permanente
| Professional | $398.11 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $436.52 | $436.52 | $436.52 | |
Lucent Health
| Professional | $794.33 | $794.33 | $912.01 | |
Providence
| Facility | $120.23 | $190.55 | $269.15 | |
Providence
| Professional | $131.83 | $131.83 | $131.83 |