| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.91 | $28.91 | $36.14 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $72.00 | $90.00 | $90.00 | |
Providence
| Facility | $11.44 | $16.47 | $53.92 | |
Providence
| Professional | $39.93 | $39.93 | $39.93 |