| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,222.55 | $2,222.55 | $3,205.42 | |
Kaiser Permanente
| Professional | $500.00 | $4,750.00 | $17,033.14 | |
Lucent Health
| Facility | $55.00 | $4,038.10 | $5,819.55 | |
Lucent Health
| Professional | $16,279.00 | $16,279.00 | $16,279.00 | |
Providence
| Facility | $1,952.46 | $2,440.25 | $3,300.00 |