| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $259.94 | $317.14 | $398.79 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $310.01 | $338.98 | $338.98 | |
Lucent Health
| Professional | $702.03 | $702.03 | $826.04 | |
Providence
| Facility | $176.79 | $206.35 | $221.04 | |
Providence
| Professional | $128.91 | $128.91 | $128.91 |