| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,076.03 | $1,076.03 | $1,289.21 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $1,306.04 | $1,783.13 | $1,967.58 | |
Lucent Health
| Professional | $6,008.06 | $6,008.06 | $6,008.06 | |
Providence
| Facility | $2,223.51 | $2,223.51 | $2,223.51 | |
Providence
| Professional | $1,671.92 | $2,159.82 | $2,487.94 |