| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $234.42 | $234.42 | $295.12 | |
Kaiser Permanente
| Professional | $398.11 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $501.19 | $501.19 | $501.19 | |
Lucent Health
| Professional | $776.25 | $776.25 | $776.25 | |
Providence
| Facility | $158.49 | $194.98 | $275.42 | |
Providence
| Professional | $208.93 | $208.93 | $208.93 |