| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $227.35 | $227.35 | $285.88 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $306.83 | $499.65 | $499.65 | |
Lucent Health
| Professional | $775.00 | $775.00 | $775.00 | |
Providence
| Facility | $156.80 | $185.93 | $260.89 | |
Providence
| Professional | $210.36 | $210.36 | $210.36 |