| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $44.67 | $44.67 | $53.70 | |
Kaiser Permanente
| Professional | $60.26 | $630.96 | $831.76 | |
Lucent Health
| Facility | $173.78 | $173.78 | $173.78 | |
Lucent Health
| Professional | $234.42 | $234.42 | $234.42 | |
Providence
| Facility | $24.55 | $43.65 | $75.86 |