| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.25 | $32.84 | $50.56 | |
Kaiser Permanente
| Professional | $15.00 | $638.07 | $801.00 | |
Lucent Health
| Facility | $85.00 | $90.00 | $245.00 | |
Lucent Health
| Professional | $280.00 | $280.00 | $292.00 | |
Providence
| Facility | $6.01 | $13.62 | $94.40 |