| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $14.13 | $14.13 | $17.38 | |
Kaiser Permanente
| Professional | $398.11 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $89.13 | $100.00 | $100.00 | |
Providence
| Facility | $5.50 | $8.13 | $24.55 | |
Providence
| Professional | $19.05 | $19.05 | $19.05 |