| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $35.48 | $35.48 | $42.66 | |
Kaiser Permanente
| Professional | $46.77 | $398.11 | $831.76 | |
Lucent Health
| Facility | $173.78 | $173.78 | $181.97 | |
Lucent Health
| Professional | $190.55 | $190.55 | $190.55 | |
Providence
| Facility | $27.54 | $40.74 | $61.66 |