| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $27.54 | $27.54 | $33.88 | |
Kaiser Permanente
| Professional | $398.11 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $89.13 | $93.33 | $93.33 | |
Providence
| Facility | $11.75 | $15.49 | $43.65 | |
Providence
| Professional | $37.15 | $37.15 | $37.15 |