| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $37.36 | $37.36 | $46.46 | |
Cigna
| Professional | $77.64 | $122.39 | $335.27 | |
Kaiser Permanente
| Professional | $115.31 | $638.07 | $801.00 | |
Lucent Health
| Facility | $112.98 | $112.98 | $658.49 | |
Lucent Health
| Professional | $301.00 | $371.24 | $371.24 | |
Providence
| Facility | $51.19 | $73.87 | $104.45 |